Applications and use of in-shoe orthoses in the conservative management of Charcot foot deformity.Clin Podiatr Med Surg. 1994 Apr; 11(2):271-8.CP
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.