Reconstruction of the diabetic Charcot foot incorporating bone grafts

Literature is sparse concerning the topic of Charcot foot reconstruction incorporating various types of bone grafts and internal fixation. No concrete, methodical approach has yet been established to dictate under what conditions bone grafting would be applicable in Charcot joints. It is the intent of the authors to convey, through limited experience, an approach to the surgical reconstruction of the diabetic Charcot foot using bone grafting and internal fixation as it applies to the Sanders and Mrdjenovich patterns 2 and 3. Three case studies are presented with emphasis on the biomechanical examination, computerized tomography, radiographic appearance, patterns of bone and joint destruction, and types of bone grafts using internal fixation.