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Circular Frame Strategies for Ankle and Hindfoot Charcot Reconstruction

Om Lahoti¹, Charmilie Chandrakumar², Venu Kavarthapu³

¹Orthopaedic Department, King's College Hospital, London, UK.

Foot and Ankle Clinics

|May 7, 2026

Abstract:

Ankle and hindfoot Charcot neuroarthropathy is a complex problem and should be carefully assessed and managed to prevent morbidity and limb loss. Circular frames offer a range of options to address a wide variety of clinical situations and also complement internal fixation techniques. Multidisciplinary care and specialist skills to provide frame treatment are essential for a successful outcome.

Keywords:

Ankle Charcot neuropathy Diabetes External fixation Hindfoot

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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