Acute Charcot foot is a diagnostic challenge. The exact pathophysiology is not fully understood. Acute Charcot foot is often present with a history of trauma or cellulitis which does not respond to antibiotics. The condition is best managed within a multidisciplinary team. The mainstay of the treatment is mechanical off-loading and total contact casting. Surgery is reserved for select cases. Cite this article: EFORT Open Rev 2018;3:568-573. DOI: 10.1302/2058-5241.3.180003
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