Background: Diabetes Mellitus (DM) is a common medical condition affecting more than 6% of the
world population. Besides well-known pathology like diabetic retinopathy and renal insufficiency, it carries important
orthopedic implications, especially around the foot and ankle (diabetic foot).
Focus: This article focusses on the three major areas confronting the orthopedist: 1) changes in foot statics and
biology leading to ulceration with or without osteomyelitis, 2) ankle fractures, particularly complications after a
fracture and 3) Charcot foot.
Their pathophysiology, clinical features, classification, diagnostic dilemmas and treatment options are discussed.
Conclusion: DM is very common and is often associated with foot problems. Diabetic foot is a special condition
that needs special attention. This article aims to provide the necessary knowledge to a better understanding and
treatment of the diabetic foot.