title: Applications and use of in-shoe orthoses in the conservative management of Charcot foot deformity.
abstract: Charcot joint arthropathy is one of the more challenging entities encountered by the podiatric physician. The primary goal of treatment is to preserve skin integrity. A secondary goal is to provide a stable extremity for ambulation. The ultimate goal is to improve the quality of life for these individuals. The ability to accomplish these goals by conservative means requires a knowledge of biomechanics as well as orthoses and shoe gear. Perseverance, compassion, and a little creativity often are helpful as well.
authors.affiliation: Harvard Medical School, Boston, Massachusetts.
authors.forename: J M
authors.initials: JM
authors.lastname: Giurini
mesh_terms: D001177:Arthropathy, Neurogenic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003929:Diabetic Neuropathies / Q000150:complications; D005531:Foot Deformities, Acquired / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D009989:Orthotic Devices; D012775:Shoes