External Fixation for Charcot Reconstruction

Charcot arthropathy is a progressive and destructive condition most commonly affecting the foot and ankle in patients with neuroarthropathy. This article provides a comprehensive overview of external fixation as a surgical modality in the treatment of Charcot deformity and explores different external fixation constructs including static circular frames, hexapod systems, and hybrid configurations. The article also outlines perioperative planning, postoperative protocols, and complication management while emphasizing the importance of patient education, glycemic control and interdisciplinary care to achieve limb salvage and functional restoration.