Current Concepts In Treating Acute Charcot's Arthropathy

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Here is a preoperative weightbearing lateral radiograph that shows typical Charcot changes. Note the equinus deformity with midfoot plantar prominence and severe destruction of the tarsometatarsal joint.
Here one can see a histopathology slide (decalcified H&E) for the same patient that is taken from the resected bone surrounding the tarsometatarsal joint during arthrodesis. Note the thin, sparse trabeculae and widened marrow spaces.
Current Concepts In Treating Acute Charcot's Arthropathy
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Author(s): 
By Lee C. Rogers, DPM, Nicholas J. Bevilacqua, DPM, and David G. Armstrong, DPM, PhD

Dr. Armstrong is a Professor of Surgery, Chair of Research and Assistant Dean at the William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine in Chicago. He is the Director of the Center for Lower Extremity Ambulatory Research (CLEAR) at the aforementioned university and is the Co-Chair of the Diabetic Foot Global Conference (DFcon.com).

Dr. Rogers is a Research Fellow at the Center for Lower Extremity Research (CLEAR) at the William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science.

Dr. Bevilacqua is a Fellow at CLEAR. He is also a Fellow at the National Center for Limb Preservation.

Dr. Steinberg (shown) is an Assistant Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. He is a Fellow of the American College of Foot and Ankle Surgeons.




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