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Charcot Foot or Charcot Arthropathy of Foot
Charcot’s foot is a complication of diabetes that almost always occurs in those with peripheral neuropathy (nerve damage). When neuropathy is present, the bones and joints in the foot do not have normal protective sensations like pain. Because of this patients with diabetes can overload their feet and can develop stress fractures in the bones of the feet even though they do not feel any pain. As patient do not have pain, they continue to walk overloading their feet thereby converting small stress fractures into complete fractures. Another way to explain this is that imagine if you continue to drive your car with a punctured flat tyre, the pressure from the steel rim will cut through the tyre and completely destroy it. As the fractured foot is loaded fractures get displaced leading to development of severe deformities.
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What happens during achilles repair or reconstruction?
Achilles repair or reconstruction is usually performed under general or spinal anaesthesia. An incision (cut) in the back of your leg just above your ankle. They will locate the damaged tendon and bring the ends together using stitches.Many times bony growth called Haglund growth is also removed along side. If the damage warrants large removal of diseased tendon then a reinforcement with another tendon in your body is done. Anchorage might be additionally added to the heel bone. Wound is closed using stitches and apply a temporary splintage. After 3 to 4 weeks the patient is allowed to weight bear with Air walker boots till the repair is found solid. Normally the patient returns to the normal activities by 3 months time.