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Conservative treatment of CN is dependent on stage and deformity. In an advanced stage or with failed conservative treatment, operative stabilization, and deformity correction are generally needed. The ankle is an infrequent site (approximately 5%) for CN, but the related gross instability and progressive deformity frequently lead to ulcerations or osteomyelitis, prompting major amputations. 7 Surgical correction of Charcot-related deformities involving the ankle joint is known to be associated with a high-risk of complications and failure. In addition, acquired deformity at the ankle/hindfoot level is considerably more difficult to treat than midfoot deformity.
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Primadhi et al. (2023) studied this question.
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