A and B, Progressive collapse of midfoot and hindfoot with loss of bony architecture in elderly patient with diabetes mellitus and Charcot arthropathy. C, Deep plantar space abscess and osteomyelitis or neuropathic periostitis followed by collapse deformity with ulceration. D and E, By osteotomizing border metatarsal or incising capsule at articulation with tarsus, the gap created by multiple central ray amputations can be closed and occasionally managed without skin graft or flap coverage. SEE TECHNIQUE 15.6.