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

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

Foot Ankle Surg. 2016 Sep;22(3):176-80

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

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.

PMID: 27502226 [PubMed - indexed for MEDLINE]

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