Understanding The Potential Impact Of Diabetes On Bone Biology And Biomechanics

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Here one can see midfoot Charcot in a 52-year-old patient with type 1 diabetes.
Here is the same patient’s foot after reconstruction with adjunctive external fixation and orthobiologics. The chronic ulcer on the plantar midfoot has also been debrided.
Here is a 10-week postoperative view showing final consolidation. Note the “beaming” of the medial and lateral columns.
Here is the final position and closure of the soft tissue envelope at 16 weeks postoperatively.
Here is another view of the patient’s foot showing the final position and closure of the soft tissue envelope at 16 weeks postoperatively.
Understanding The Potential Impact Of Diabetes On Bone Biology And Biomechanics
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Author(s): 
By Glenn Weinraub, DPM

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7. Buckwalter JA, Glimcher MJ, Cooper RR, Recker R. Bone Biology. J Bone Joint Surg, 77A (8), 1276-1289, 1995.

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