Can Scaling Theory Aid In Charcot Foot Reconstruction In Obese Patients?

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Andrew J. Meyr, DPM, Kelly Pirozzi, DPM, and Corine Creech, DPM

In Conclusion

Despite a national awareness of obesity and widespread efforts to educate the public, our nation is still gaining weight at an alarming rate. It may be time to view this weight gain as inevitable and evolutionary, and subsequently attempt to mimic and incorporate scaling theory findings that have occurred in other graviportal species into our practices.

   Charcot neuroarthropathy represents a situation in which so-called “normal” human anatomy has failed. The musculoskeletal tissue and support structures in a patient with a normal BMI may not be sufficient to support our patients with larger BMIs. Although we do not consider these findings to be definitive or conclusive, we hope it does present at least a different paradigm looking forward into treatment algorithms for this challenging group of podiatric patients.

   Dr. Meyr is an Assistant Professor in the Department of Podiatric Surgery at the Temple University School of Podiatric Medicine in Philadelphia.

   Dr. Pirozzi is a fourth-year resident with the Temple University Hospital Podiatric Surgical Residency Program.

   Dr. Creech is a second-year resident with the Temple University Hospital Podiatric Surgical Residency Program.

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   For further reading, see “Limb Salvage And The Charcot Foot: What The Evidence Shows” in the March 2011 issue of Podiatry Today.

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