Osteotomies for the Management of Charcot Neuroarthropathy of the Foot and Ankle

Ryan T Scott; William T DeCarbo; Christopher F Hyer

doi:10.1016/j.cpm.2015.03.004

Osteotomies for the Management of Charcot Neuroarthropathy of the Foot and Ankle

Clin Podiatr Med Surg. 2015 Jul;32(3):405-18. doi: 10.1016/j.cpm.2015.03.004.

Authors

Ryan T Scott¹, William T DeCarbo², Christopher F Hyer³

Affiliations

¹ Department of Orthopedics, The CORE Institute, 18444 N 25th Avenue, Unit 320, Phoenix, AZ 85023, USA. Electronic address: scottryt@gmail.com.
² The Orthopedic Group, Pittsburgh, PA, USA.
³ Orthopedic Foot and Ankle Center, Westerville Medical Campus, 300 Polaris Parkway, Suite 2000, Westerville, OH 43082, USA.

PMID: 26117575
DOI: 10.1016/j.cpm.2015.03.004

Abstract

Patients with diabetic neuropathy that develop unstable Charcot neuroarthropathy not only have an autoimmune disease that prolongs the healing process, they also often have an inability to maintain a non-weight bearing status. Charcot neuroarthopathy is often devastating to the structure and stability of the foot and ankle. This disease may require permanent bracing, reconstructive surgical stabilization, and in some cases lower leg amputation. Successful management of Charcot neuroarthopathy requires diligence and surveillance by physician and patient alike.

Keywords: Charcot; External fixation; Midfoot osteotomy.

Publication types

Review

MeSH terms

Arthrodesis
Arthropathy, Neurogenic / diagnosis
Arthropathy, Neurogenic / etiology
Arthropathy, Neurogenic / surgery*
Diabetic Neuropathies / diagnosis
Diabetic Neuropathies / etiology
Diabetic Neuropathies / surgery*
External Fixators
Foot Joints*
Humans
Internal Fixators