Abstract
Charcot neuroarthropathy of the foot, or Charcot foot, is a pathologic entity of the
foot, associated with diabetes mellitus. Owing to the increase of diabetes mellitus
in developed nations worldwide, the prevalence of Charcot foot has been increasing.
The initial treatment of Charcot foot is often conservative, with methods including
bracing, casting, and the use of customized orthopedic shoes. However, many cases
of Charcot foot eventually require surgery, because the consequent destabilization
of the foot associated with bone, joint, and nerve injury due to the pathology eventually
leave patients unable to walk independently. The present systematic review analyzed
the published data regarding surgical interventions for midfoot Charcot deformities
and estimated the rates of common complications occurring with the surgical modalities
studied. The main outcomes of interest analyzed in the present study were postoperative
amputation and bony fusion. The included cohort of patients with Charcot foot was
very heterogeneous in terms of the demographic and comorbid characteristics. However,
even with this heterogeneity, the present study should provide useful information
to surgeons in terms of the outcomes after some of the common surgical procedures
for midfoot Charcot.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 01, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
