Charcot neuroarthropathy, a chronic progressive destruction of joint integrity, is believed to result from a disturbance in pain and proprioceptive sensation. It is most commonly treated in patients with uncontrolled diabetes mellitus and dense peripheral neuropathy. Prevention, early diagnosis, and early treatment are key to a patient's successful outcome. Educating the patient is paramount to avoid further complications and subsequent amputations. This article describes the pathophysiology, staging, surgical treatment, and natural course of Charcot neuroarthropathy.
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Zgonis, T., Stapleton, J. J., Jeffries, L. C., Girard-Powell, V. A., & Foster, L. J. (2008). Surgical treatment of Charcot neuropathy. AORN Journal, 87(5), 971-986.