Foot and Ankle Surgery
Volume 14, Issue 1 , Pages 26-31 , 2008

Treatment of Charcot foot and ankle with a prefabricated removable walker brace and custom insole

  • Shawn Verity, MD

      Affiliations

    • Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
    • ,
  • Michael Sochocki, MD

      Affiliations

    • Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
    • ,
  • John M. Embil, MD, FRCPC

      Affiliations

    • Section of Infectious Diseases, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
    • Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
    • ,
  • Elly Trepman, MD

      Affiliations

    • Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
    • Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada
    • Department of Orthopaedic Surgery, Grand Itasca Clinic & Hospital, Grand Rapids, MN, United States
    • Corresponding Author InformationCorresponding author at: Health Sciences Centre, MS 673–820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada. Tel.: +1 204 787 4654; fax: +1 204 787 2989.

Received 20 November 2006 ,Revised 29 September 2007 ,Accepted 3 October 2007.

References 

  1. Trepman E, Nihal A, Pinzur MS. Current topics review: Charcot neuroarthropathy of the foot and ankle. Foot Ankle Int. 2005;26:46–63
  2. Pinzur MS, Shields N, Trepman E, Dawson P, Evans A. Current practice patterns in the treatment of Charcot foot. Foot Ankle Int. 2000;21:916–920
  3. Pollo FE, Brodsky JW, Crenshaw SJ, Kirksey C. Plantar pressures in fibreglass total contact casts vs. a new diabetic walking boot. Foot Ankle Int. 2003;24:45–49
  4. Sinacore DR. Healing times of diabetic foot ulcers in the presence of fixed deformities of the foot using total contact casting. Foot Ankle Int. 1998;19:613–618
  5. Birke JA, Pavich MA, Patout CA, Horswell R. Comparison of forefoot ulcer healing using alternative off-loading methods in patients with diabetes mellitus. Adv Skin Wound Care. 2002;15:210–215
  6. Myerson M, Papa J, Eaton K, Wilson K. The total-contact cast for management of neuropathic plantar ulceration of the foot. J Bone Joint Surg. 1992;74-A:261–269
  7. Trepman E, Pinzur MS, Shields N. Application of the total contact cast. Foot Ankle Int. 2005;26:108–112
  8. Armstrong DG, Todd WF, Lavery LA, Harkless LB, Bushman TR. The natural history of acute Charcot's arthropathy in a diabetic foot specialty clinic. J Am Podiatr Med Assoc. 1997;87:272–278
  9. Pinzur MS, Lio T, Posner M. Treatment of Eichenholtz stage I Charcot foot arthropathy with a weightbearing total contact cast. Foot Ankle Int. 2006;27:324–329
  10. Baumhauer JR, Wervey R, McWilliams J, Harris GF, Shereff MJ. A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and a prefabricated pneumatic walking brace. Foot Ankle Int. 1997;18:26–33
  11. Hartsell HD, Fellner C, Saltzman CL. Pneumatic bracing and total contact casting have equivocal effects on plantar pressure relief. Foot Ankle Int. 2001;22:502–506
  12. Guyton GP. An analysis of iatrogenic complications from the total contact cast. Foot Ankle Int. 2005;26:903–907
  13. Wukich DK, Motko J. Safety of total contact casting in high-risk patients with neuropathic foot ulcers. Foot Ankle Int. 2004;25:556–560
  14. Newbold KB. Problems in search of solutions: health and Canadian aboriginals. J Commun Health. 1998;23:59–73
  15. Badgley RF. Social and economic disparities under Canadian health care. Int J Health Serv. 1991;21:659–671
  16. Veugelers PJ, Yip AM. Socioeconomic disparities in health care use: does universal coverage reduce inequalities in health?. J Epidemiol Commun Health. 2003;57:424–428
  17. Meatherall BL, Garrett MR, Kaufert J, Martin BD, Fricke MW, Arneja AS, et al. Disability and quality of life in Canadian aboriginal and non-aboriginal diabetic lower-extremity amputees. Arch Phys Med Rehabil. 2005;86:1594–1602
  18. Crincoli MG, Trepman E. Immobilization with removable walking brace for treatment of chronic foot and ankle pain. Foot Ankle Int. 2001;22:725–730
  19. Fleischli JG, Lavery LA, Vela SA, Ashry H, Lavery DC. Comparison of strategies for reducing pressure at the site of neuropathic ulcers. J Am Podiat Med Assoc. 1997;87:466–472
  20. Brodsky JW. The diabetic foot. In:  Coughlin MJ,  Mann RA editor. Surgery of the foot and ankle. 7th ed.. Mosby: St. Louis; 1999;p. 895–969
  21. Eichenholtz SN. Charcot joints. Springfield, IL: Charles C. Thomas; 1966;
  22. Knowles EA, Boulton AJM. Do people with diabetes wear their prescribed footwear?. Diab Med. 1996;13:1064–1068
  23. Morgan JM, Biehl WC, Wagner FW. Management of neuropathic arthropathy with the Charcot Restraint Orthotic Walker. Clin Orthop. 1993;296:58–63

PII: S1268-7731(07)00092-6

doi: 10.1016/j.fas.2007.10.002

Foot and Ankle Surgery
Volume 14, Issue 1 , Pages 26-31 , 2008

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