A Retrospective Analysis of 50 Consecutive Charcot Diabetic Salvage Reconstructions

Between January 2000 and May 2003, 50 consecutive Charcot diabetic salvage procedures were performed on 44 patients (average age 55.1 years). Twenty-four women (26 feet) and 20 men (24 feet) underwent a reconstructive limb salvage procedure for diabetic Charcot neuroarthropathy using a systematic su...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2009, Vol.48 (1), p.30-38
Main Authors: Grant, William P., DPM, FACFAS, Garcia-Lavin, Silvia E., DPM, Sabo, Roy T., PhD, Tam, Harry S., DPM, Jerlin, Erin, DPM
Format: Article
Language:English
Subjects:
amputation
arthrodesis
Arthropathy, Neurogenic - surgery
Biological and medical sciences
Charcot neuroarthropathy
Cohort Studies
diabetes
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Diabetes. Impaired glucose tolerance
Diseases of the osteoarticular system
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Foot Joints
Humans
Limb Salvage
Male
Medical sciences
Middle Aged
Orthopedic surgery
Orthopedics
outcomes assessment
Patient Satisfaction
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Summary:Between January 2000 and May 2003, 50 consecutive Charcot diabetic salvage procedures were performed on 44 patients (average age 55.1 years). Twenty-four women (26 feet) and 20 men (24 feet) underwent a reconstructive limb salvage procedure for diabetic Charcot neuroarthropathy using a systematic surgical approach involving internal and external fixation. A retrospective analysis of patient satisfaction and clinical outcome was evaluated over a 2- to 5-year postoperative period; 75% of patients completed the SF-36 health survey and a patient satisfaction survey. A reliability analysis found the SF-36 survey to be an adequate health measurement tool in this Charcot neuroarthropathy cohort. Analysis of variance and categorical data analysis showed that the patients improved statistically significantly in response to surgical intervention; however, none of the demographic variables was statistically significantly associated with patient outcomes as measured by the SF-36 and the patient satisfaction survey. Level of Clinical Evidence: 2
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2008.10.004