False about Charcot’s joint in diabetes mellitus is
• 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
superinfection, loss of function, and in the worst case scenario: amputation. Early identification of the joint changes
is the best way to limit morbidity.
• Any condition resulting in decreased peripheral sensation, proprioception, and fine motor control can cause
Charcot’s joint.
• Common causes of such osteoarthropathy are:
1.Diabetes mellitus neuropathy
2. Alcoholic neuropathy
3. Cerebral palsy
4. Leprosy
4. Syphilis (tabesdorsalis)
6. Spinal cord injury
7. Myelomeningocele
8. Syringomyelia
• Treatment of Charcot’s arthropathy is focused on limitation of activity and appropriate bracing or casting. 
A Charcot’s joint is usually a contraindication for total joint arthroplasty. 
• Absolute contraindications of total ankle replacement are:
— Neuroarthropathic degenerative disease (Characot’s joint)
— Active or recent infection
— Avascular necrosis of talus
Limitation of movements with bracing
Arthrodesis
Total ankle replacement
Arthrocentesis