This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Unknown
[{'content': 'False about Charcot’s joint in diabetes mellitus is \nSelect and explain. \nA. Limitation of movements with bracing, B. Arthrodesis, C. Total ankle replacement, D. Arthrocentesis', 'role': 'user'}, {'content': 'Answer: C \nExplanation: • Charcot’s joint refers to neuropathic osteoarthropathy in which there is progressive degeneration of a weight-bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity. Onset is usually insidious. If this pathological process continues unchecked, it could result in joint deformity, ulceration and/or\nsuperinfection, loss of function, and in the worst case scenario: amputation. Early identification of the joint changes\nis the best way to limit morbidity.\n• Any condition resulting in decreased peripheral sensation, proprioception, and fine motor control can cause\nCharcot’s joint.\n• Common causes of such osteoarthropathy are:\n1.Diabetes mellitus neuropathy\n2. Alcoholic neuropathy\n3. Cerebral palsy\n4. Leprosy\n4. Syphilis (tabesdorsalis)\n6. Spinal cord injury\n7. Myelomeningocele\n8. Syringomyelia\n• Treatment of Charcot’s arthropathy is focused on limitation of activity and appropriate bracing or casting. \nA Charcot’s joint is usually a contraindication for total joint arthroplasty. \n• Absolute contraindications of total ankle replacement are:\n— Neuroarthropathic degenerative disease (Characot’s joint)\n— Active or recent infection\n— Avascular necrosis of talus', 'role': 'assistant'}]