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

Stark, C., Murray, T., Gooday, C., Nunney, I., Hutchinson, R., Loveday, D. and Dhatariya, K. (2016) 5 year retrospective follow-up of new cases of Charcot neuroarthropathy - A single centre experience. Foot and Ankle Surgery, 22 (3). 176–180. ISSN 1268-7731

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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.

Item Type: Article
Uncontrolled Keywords: charcot neuroarthropathy,diabetes,clinical resolution,total contact plaster cast,below knee removable walking boot
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 22 Mar 2016 09:39
Last Modified: 22 Jul 2020 00:45
URI: https://ueaeprints.uea.ac.uk/id/eprint/57835
DOI: 10.1016/j.fas.2015.07.003

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