Although cases of neuropathic arthropathy are rare, with only forty-five cases reported in the world literature until 1956, our experience with three patients in ten years prompted us to invite the attention of orthopaedic surgeons to the lesions. I have stressed certain early roentgenographic diagnostic points and reported the only case in the literature, to my knowledge, in which the patient had complete reconstruction of an arthropathic joint, with a ten-year follow-up study. I urge physicians to make early and repeated roentgenograms of feet and ankles of any patient with diabetes. When it is necessary to amputate, a satisfactory and functional stump often remains.