RESUMEN

Management of diabetic Charcot midfoot deformity is one of the most demanding aspects of foot and ankle surgery. Its treatment should aim at reducing the rate of complications, including foot and ankle amputations or limb loss. Attempting reconstruction at Eichenholtz stages I and II carries the risk of infection and loss of fixation. It is advisable to limit surgical reconstruction to Eichenholtz stage III in the absence of any evidence of infection or vascular insufficiency. Achilles lengthening or gastrocnemius-soleus release is an essential initial step in surgery. Addressing the medial foot column first is a key to a successful reconstruction.

Asunto(s)

Artropatía Neurógena/complicaciones , Pie Diabético/complicaciones , Deformidades Adquiridas del Pie/cirugía , Artropatía Neurógena/diagnóstico por imagen , Artropatía Neurógena/cirugía , Pie Diabético/diagnóstico por imagen , Pie Diabético/cirugía , Deformidades Adquiridas del Pie/diagnóstico por imagen , Deformidades Adquiridas del Pie/etiología , Humanos