3.9 Article

Considerations in Charcot Reconstruction

Journal

CLINICS IN PODIATRIC MEDICINE AND SURGERY
Volume 41, Issue 1, Pages 141-151

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cpm.2023.06.005

Keywords

Charcot; Reconstruction; Surgery; Diabetes; Amputation; Limb salvage

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The authors emphasize the importance of aggressive treatment for Charcot foot, which not only helps control deformities but also improves patients' quality and length of life. They suggest that Charcot reconstruction surgery is a logical choice to delay mortality, considering the known risks associated with limb amputation. Charcot foot is a challenging condition that requires the application of basic surgical principles and a team approach for successful management.
In conclusion, the authors feel that aggressive treatment of the Charcot foot is crucial not only to their patients' long-term management of their deformity but also to their quality and length of life. Knowing that limb amputation carries with it known mortality risk within the following few years, simple logic supports Charcot reconstruction to delay death. Charcot is a dynamic process that challenges foot and ankle surgeons on many levels. Applying basic surgical principles and utilizing a team approach are critical in the successful management of this destructive condition.

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