Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle

Daniel J. Short, Thomas Zgonis

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Bone loss and destruction due to diabetic Charcot neuroarthropathy (CN) and osteomyelitis of the foot and ankle is a challenging clinical condition when lower extremity preservation is considered. Resection and excision of osteomyelitis and associated nonviable soft tissue can lead into large osseous and soft tissue defects that will most likely need the utilization of bone grafting and subsequent arthrodesis for stability and anatomic alignment. In the diabetic population with peripheral neuropathy, osseous instability can lead to subsequent lower extremity deformity, ulceration, infection and/or amputation. This article reviews the surgical approach in the presence of diabetic CN and concomitant osteomyelitis.

Original languageEnglish (US)
JournalClinics in Podiatric Medicine and Surgery
DOIs
StateAccepted/In press - 2017

Keywords

  • Bone grafting
  • Bone loss
  • Charcot foot
  • Diabetes mellitus
  • External fixation
  • Osteomyelitis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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