Charcot Collapse: Does Collapse Pattern Dictate Osseous Metabolism?

Abstract

Level III.

The Impact of the Plantar Calcaneal Cortex on Ankle Charcot Reconstruction

“…The mean body mass index was 35.8 ± 9.1 kg/m 2 (19.0-67.0), the mean glycosylated hemoglobin A1c was 7.8 ± 2.4 (3.5-15). The prevalence of associated comorbidities was diabetes mellitus 92.5% (74), hypertension 75% (60), renal disease 36.3% (29), peripheral arterial disease 28.8% (23), and smoking history 12.5% (10).…”

“…This can be very challenging as Charcot neuroarthropathy is a progressive and destructive inflammatory process with typical findings of osteopenia, osseous destruction, and periarticular fracturing [5][6][7]. Additionally, in patients with Charcot neuroarthropathy, bone mineral density has been demonstrated to be reduced when compared to nondiabetic controls [8][9][10][11]. This has been noted specifically in the calcaneus with chronic Charcot exhibiting a significantly lower calcaneal BMD, and acute Charcot demonstrating increased bone turnover [12,13].…”