What is the primary goal in treating a patient with Charcot arthropathy?

The primary goal in treating a patient with Charcot arthropathy is to promote stability. Charcot arthropathy involves the progressive degeneration of a joint due to neurological impairment, particularly in the context of diabetes or other neurologic conditions. This degeneration leads to joint instability, deformity, and increased risk of fractures.

By promoting stability, treatment aims to limit further joint damage and prevent the development of complications such as additional fractures or structural deformities. Stabilization can often be achieved through the use of custom footwear, braces, or other supportive devices that help align and support the affected joint, allowing for safer mobility and a better quality of life.

Though managing inflammation, improving proprioception, and facilitating weight bearing are important aspects of overall treatment for various foot and ankle conditions, these goals are secondary to ensuring stability in the case of Charcot arthropathy. Without stability, the other management strategies may not be as effective or feasible.