Results of Simple Conservative Treatment of Midfoot Charcot Arthropathy
Clinics in Orthopedic Surgery
;
: 459-465, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-763603
ABSTRACT
BACKGROUND:
Traditionally, conservative management with an offloading orthosis, such as total contact cast (TCC), has been the standard of care for midfoot Charcot arthropathy. Considering complications of TCC and surgery, we treated midfoot Charcot arthropathy without TCC in our patients. The purpose of this study was to report clinical and radiological outcomes of conservative management of midfoot Charcot arthropathy.METHODS:
A total of 34 patients (38 feet) who were diagnosed as having midfoot Charcot arthropathy between 2006 and 2014 were included. Patients started full weight bearing ambulation in a hard-soled shoe immediately after diagnosis. Outcomes such as progression of arch collapse, bony prominence, ulcer occurrence, limb amputation, and changes in Charcot stage were evaluated.RESULTS:
Of 38 feet, arch collapse was observed in four while progression of bottom bump of the midfoot was observed in five feet. Foot ulcers related to bony bumps were found in two feet.CONCLUSIONS:
Conservative treatment without restriction of ambulation is recommended for midfoot Charcot arthropathy because it is rarely progressive, unlike hindfoot-ankle arthropathy. In some cases, simple bumpectomy can be required to prevent catastrophic infection.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aparelhos Ortopédicos
/
Artropatia Neurogênica
/
Sapatos
/
Úlcera
/
Caminhada
/
Suporte de Carga
/
Úlcera do Pé
/
Diagnóstico
/
Extremidades
/
Padrão de Cuidado
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2019
Tipo de documento:
Artigo
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