Versatility of intrinsic muscle flaps for the diabetic Charcot foot

Bone, joint, and/or tendon exposure following surgical debridement of diabetic foot infections requires careful consideration when choosing appropriate closure methods. The unique architecture of the foot, coupled with the functional demands of mobilization, makes soft tissue reconstruction for plantar defects especially challenging. Muscle flaps incorporate the muscle, associated nerve, and vascular pedicles during transposition. This article covers their unique properties for soft tissue coverage in the diabetic Charcot foot.