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The Charcot Foot

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Complications in Foot and Ankle Surgery

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Abstract

Surgical management of a Charcot foot is mostly presented in low-level studies. Research in this area is lacking understandably due to its relatively low prevalence of the disease. Therefore, surgeons have to be responsible for making educated decisions based on the limited information. It is conceivable that sensorimotor along with autonomic neuropathy of any origin can result in development of neuroarthropathy. While many other causes have been reported, most of the Charcot arthropathies in the foot and ankle manifest in a diabetic population. This devastating condition not only results in foot deformities but also represents an end spectrum of the diabetes disease process, along with cardiovascular, neurological, and immunological manifestations. Additionally, the most significant risk factor associated with postoperative complications in this group is known to be the presence of peripheral neuropathy. Therefore, these patients are categorized in one of the highest medical-risk groups. Avoiding major complications is the single most important aspect in managing these patients, as complications are common even after a perfectly executed surgery. As reconstruction requires substantial time to recover and a considerable fraction of remaining life, the goal of the surgical procedure is to return these patients back to the previous activity level in order to maintain their quality of life. This may mean reconstructive surgery, a simple exostectomy soft tissue procedures or even amputation with prosthesis, depending on their medical and socioeconomic Status.

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Authors and Affiliations

  1. Texas A&M University, Health Science Center, College of Medicine, Temple, TX, 76504, USA

    Naohiro Shibuya

  2. Surgical Services, Central Texas VA Health Care System, Veterans Hospital, Temple, TX, USA

    Naohiro Shibuya

  3. Department of Surgery, Baylor Scott and White Health Care System, 2401 S. 31st St., Temple, TX, 76504, USA

    Naohiro Shibuya

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  1. Naohiro Shibuya
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Correspondence to Naohiro Shibuya .

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  1. Capital Orthopedics and Sports Medicine, Clive, Iowa, USA

    Michael S. Lee

  2. Akron General Orthopedics, Inc., Akron, Ohio, USA

    Jordan P. Grossman

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Shibuya, N. (2017). The Charcot Foot. In: Lee, M., Grossman, J. (eds) Complications in Foot and Ankle Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-53686-6_24

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