title: Diabetic charcot neuroarthropathy of the foot and ankle with osteomyelitis.
abstract: One of the most devastating foot and/or ankle complications in the diabetic population with peripheral neuropathy is the presence of Charcot neuroarthropathy (CN). In recent years, diabetic limb salvage has been attempted more frequently as opposed to major lower extremity amputation for CN of the foot and ankle with ulceration and/or deep infection. Treatment strategies for osteomyelitis in the diabetic population have evolved. This article reviews some of the most common surgical strategies recommended for the diabetic patient with CN of the foot and/or ankle and concomitant osteomyelitis.
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive MSC 7776, San Antonio, TX 78229, USA.
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Ramanujam
authors.affiliation: Foot and Ankle Surgery, VSAS Orthopaedics, Lehigh Valley Hospital, 1250 South Cedar Crest Boulevard, Suite # 110, Allentown, PA 18103, USA; Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
authors.forename: John J
authors.initials: JJ
authors.lastname: Stapleton
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive MSC 7776, San Antonio, TX 78229, USA. Electronic address: zgonis@uthscsa.edu.
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D000671:Amputation, Surgical; D000842:Ankle / Q000601:surgery*; D001177:Arthropathy, Neurogenic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017719:Diabetic Foot / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003929:Diabetic Neuropathies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005528:Foot / Q000601:surgery*; D006801:Humans; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
keywords: Charcot foot; Diabetic neuropathy; External fixation; Osteomyelitis; Ulceration