Applications and use of in-shoe orthoses in the conservative management of Charcot foot deformity.

Abstract

Charcot joint arthropathy is one of the more challenging entities encountered by the podiatric physician. The primary goal of treatment is to preserve skin integrity. A secondary goal is to provide a stable extremity for ambulation. The ultimate goal is to improve the quality of life for these individuals. The ability to accomplish these goals by conservative means requires a knowledge of biomechanics as well as orthoses and shoe gear. Perseverance, compassion, and a little creativity often are helpful as well.