Surgical Optimization for Charcot Patients

Abstract

Reconstruction of the Charcot foot and ankle demonstrates significant challenges to the foot and ankle surgeon. At present, there is limited clear consensus on the best approach for preoperative optimization. The primary aim of Charcot reconstructions is to limit the risk of ulceration by providing a stable plantigrade foot allowing ambulation. The focus of this article is the discussion of modifiable risk factors associated with Charcot reconstruction for preoperative optimization.

Keywords: Charcot; Peripheral vascular disease; hemoglobin A1c; metabolic bone profile; osteomyelitis; vitamin D.