I have an elderly gentleman, who I am going to commence treatment tomorrow for Step 0 - 1 Charcot's joint. He is not diabetic, but has compromised neuro supply from a WW2 spinal injury and circulation is quite pathetic in his lower limbs...( but I have given up trying to get him to stop smoking ).
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The x-ray shows early changes to the med cuneiform and base of 1st Met.
My concern is how do I immobilise an old man who isn't very stable ?? I can't see him sitting in bed for 17 weeks waiting for the inflammatory stage to hopefully pass. Nor would he be able to get around with a total contact cast and total non-WBing.
He is in pain with this foot and we have only just cleared up ulcerations on the foot and leg.
Any ideas ??
Trudi
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