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Updated: Jul 24, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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Published on: January 24, 2018

Corrective surgery in diabetic foot deformity.

Sylvia Resch1

  • 1Malmö University Hospital, Sweden. sylvia.resch@skane.se

Diabetes/Metabolism Research and Reviews
|May 20, 2004
PubMed
Summary

Surgical interventions for diabetic Charcot foot are common despite recommendations for conservative care. However, these surgeries have high complication rates and lack quality of life studies.

Area of Science:

  • Orthopedics
  • Diabetology
  • Podiatry

Background:

  • Corrective surgery for diabetic foot deformities has increased significantly over the last decade.
  • Up to 50% of patients with diabetic Charcot foot deformity may undergo surgery, contrasting with traditional conservative treatment recommendations.
  • Reported surgical procedures include amputation, osteotomy, arthrodesis, and calcanectomy, often involving complex fixation methods.

Purpose of the Study:

  • To review the current landscape of surgical interventions for diabetic Charcot foot.
  • To highlight the high complication rates associated with these procedures.
  • To identify the lack of quality of life comparative studies for treatment alternatives.

Main Methods:

  • Review of existing literature and benchmarking studies on diabetic foot surgery.

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  • Analysis of reported surgical techniques and complication rates.
  • Identification of research gaps, particularly in quality of life assessments.

    • Main Results:

    • Surgical interventions are increasingly utilized for diabetic Charcot foot, despite conservative treatment preferences in textbooks.
    • A wide array of surgical procedures are employed, associated with a high incidence of complications.
    • Existing research is predominantly based on small, retrospective studies.

    Conclusions:

    • The current surgical approach for diabetic Charcot foot is associated with significant complications.
    • There is a critical need for well-controlled studies evaluating the quality of life outcomes of surgical versus conservative treatments.
    • Further research is essential to guide optimal treatment strategies for diabetic foot deformities.