5 year retrospective follow-up of new cases of Charcot neuroarthropathy - A single centre experience

C. Stark, T. Murray, C. Gooday, I. Nunney, R. Hutchinson, D. Loveday, K. Dhatariya

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Abstract

Background:
Few data describe the natural history of Charcot neuroarthropathy treated with a total contact plaster cast (TCC).
Methods:
A 5 year retrospective analysis of 50 patients presenting with an acute CN, Assessing time to clinical resolution into appropriate footwear and assessing if initial immobilisation device influenced resolution time.
Results:
During the study period 42 patients (84%) of patients went into remission, 2 died during their treatment, 4 had major amputations, in 2 patients treatment was ongoing. 36 patients were treated with combination offloading devices, 6 were treated with one modality only. Median time to resolution for patients initially treated with a TCC was not significantly shorter than for those treated with a removable below knee boot. 34.9% required re-casting due to clinical deterioration in the removable device.
Conclusions:
More precise measures of resolution of CN are needed to assess the impact of initial treatment modality on time to resolution.
Original languageEnglish
Pages (from-to)176–180
Number of pages5
JournalFoot and Ankle Surgery
Volume22
Issue number3
Early online date26 Jul 2015
DOIs
Publication statusPublished - Sep 2016

Keywords

  • Charcot neuroarthropathy
  • Diabetes
  • Clinical resolution
  • Total contact plaster cast
  • Below knee removable walking boot

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