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Risk factors of diabetic foot Charcot arthropathy: a case-control study at a Malaysian tertiary care centre

Aishah Ahmad Fauzi1, Tze Yang Chung1, Lydia Abdul Latif1

  • 1Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Singapore Medical Journal
|April 15, 2016
PubMed

Insights

A history of prior diabetic foot problems significantly increases the risk of developing diabetic Charcot arthropathy. Early preventive management is crucial for diabetic patients, especially those with chronic conditions.

Area of Science:

  • Podiatry
  • Diabetology
  • Epidemiology

Background:

  • Diabetic Charcot arthropathy is a serious complication of diabetes mellitus.
  • Identifying risk factors is essential for effective prevention and management strategies.

Purpose of the Study:

  • To determine the risk factors associated with diabetic Charcot arthropathy of the foot.
  • To compare risk factors in diabetic patients with and without foot problems.

Main Methods:

  • A case-control study was conducted involving diabetic patients at a specialized clinic in Malaysia.
  • Data collected included sociodemographic profiles, foot-related factors, and diabetes characteristics.

Main Results:

  • A history of previous foot problems (ulcer, amputation, surgery) was the strongest predictor (OR 26.4) of developing Charcot arthropathy.
  • Other significant risk factors included younger age (<60 years), long diabetes duration (>10 years), and diabetic nephropathy.
  • Unilateral Charcot foot, predominantly midfoot, was observed in 83.3% of affected patients.

Conclusions:

  • Prior diabetic foot problems represent the most significant risk factor for Charcot arthropathy.
  • Preventive foot care in primary settings and multidisciplinary approaches are vital for managing chronic diabetic patients.
Abstract

Keywords:
Charcot arthropathydiabetes mellitusdiabetic foot problemsrisk factors

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