{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:40:27Z","timestamp":1756377627148,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,21]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>Charcot\u2019s joint is a type of neuro-arthropathy, where asymmetrical damage of the involved joint happens haphazardly, without following any described pattern. We present a rare case of Charcot\u2019s joint involving the knee joint in an adult male following spina bifida. His knee joint was successfully fused after two surgeries. Later, he sustained a fracture through the arthrodesis after a fall, which we managed surgically. The fracture through the knee arthrodesis was managed surgically by an open reduction and internal fixation, using a 14-hole broad low contact dynamic compression locking plate with bone grafting. Union was achieved at the knee arthrodesis site in 6\u2009months. Fracture through a fused knee requires surgical management. Re-arthrodesis was done using a stable fixation. Postoperative rehabilitation should include protected weight bearing with braces and splints until a sound bony union is achieved.<\/jats:p>","DOI":"10.1136\/bcr-2021-246529","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T11:31:24Z","timestamp":1637148684000},"page":"e246529","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Fracture in an arthrodesed Charcot\u2019s knee joint"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5456-3819","authenticated-orcid":false,"given":"Sai Sabharish","family":"Reddy","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Indraprastha Apollo Hospital, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7347-0917","authenticated-orcid":false,"given":"Abhishek","family":"Vaish","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Indraprastha Apollo Hospital, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-9533","authenticated-orcid":false,"given":"Raju","family":"Vaishya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic & Joint Replacement Surgery, Indraprastha Apollo Hospital, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,17]]},"reference":[{"key":"2025082803084570000_14.11.e246529.1","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2009.883"},{"key":"2025082803084570000_14.11.e246529.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10067-021-05775-8","article-title":"Charcot knee - 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