Soft Tissue Reconstruction Pyramid for the Diabetic Charcot Foot

Claire M. Capobianco, Thomas Zgonis

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Foot and ankle ulcerations in patients with diabetic Charcot neuroarthropathy (DCN) occur frequently and can be challenging to address surgically when conservative care fails. Patients with acute or chronic diabetic foot ulcers (DFU) are at continued risk for development of osteomyelitis, septic arthritis, gas gangrene, and potential lower extremity amputation. Concurrent vasculopathy and peripheral neuropathy as well as uncontrolled medical comorbidities complicate the treatment approach. In addition, pathomechanical forces left untreated may contribute to DFU recurrence in this patient population. This article outlines in detail the stepwise approach and options available for durable soft tissue coverage in the DCN patient.

Original languageEnglish (US)
Pages (from-to)69-76
Number of pages8
JournalClinics in Podiatric Medicine and Surgery
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • Charcot neuroarthropathy
  • Diabetic Charcot foot
  • Diabetic foot ulcer
  • Diabetic neuropathy
  • Plastic surgery
  • Reconstruction
  • Soft tissue pyramid

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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