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