I am looking for other opinions!!
Members do not see these Ads. Sign Up.
I referred a 77 year old male with suspected Charcot to an Orthopaedic surgeon in 2/2006. The initial xrays were not conclusive, but suspicious. The Pt was but into a moon boot (NWB). One month later xrays revealed definate fracture of the 2nd proximal phalange. The medial cuneiform was not reported on but seemed irregular to me.
3 months later the Pt was refered for me to provide a "valgus filler". The patient has been instructed to walk without the moon boot as the fracture of the 2nd phalange had healed well. The problematic foot is red, swollen and warm (+++warmer than contralateral). There is now deformity in the medial cuneiform-navicular region. I have queried this with the surgeon, he is adament that the Pt must walk without the moon boot (no gradual loading). He claims that if the midfoot collapses he will just fuse it, in the active stage. :eek:
I have put the Pt back into the moon boot, sorry!!!!! :D
My available literature restricts the foot until the temperature difference between each foot is similar (a nice test for the patient). I have not found any literature to support surgery on an active Charcot foot. Can the podiatric surgeons provide me with any advice/back up??!!
Much appreciated.
Joanne Crawford
Tags:
Loading...
- Similar Threads - Surgey active Charcot
-
- Replies:
- 7
- Views:
- 4,653
-
- Replies:
- 0
- Views:
- 3,331
-
- Replies:
- 1
- Views:
- 8,892
-
- Replies:
- 0
- Views:
- 646
-
- Replies:
- 0
- Views:
- 456
-
- Replies:
- 2
- Views:
- 647
-
- Replies:
- 0
- Views:
- 606