Offloading Interventions for the Management of Charcot Neuroarthropathy in Diabetes.

ABSTRACT:

Background

The use of a nonremovable patellar tendon bearing (PTB) cast in Charcot neuroarthropathy (CA) has not been well studied. We describe the offloading devices, including PTB cast used in our setting for the treatment of CA.

Methods

We performed a retrospective observational study on patients with CA and diabetic foot ulcer (DFU) presenting to the multidisciplinary foot clinic at Royal Darwin Hospital, between January 2003 and June 2015. Various immobilization and offloading methods used in CA treatment and their outcomes were analyzed.

Results

Ninety-three cases of CA were included. PTB cast (n = 76) and a variety of custom-made removable devices (n = 17) were used for initial offloading. Patients treated with PTB casts were allowed to fully weightbear on the

SUBMITTER: Berhane T 

PROVIDER: S-EPMC11808755 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature