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Charcot restraint orthotic walker

J A Mehta1, C Brown, N Sargeant

  • 1Modbury Public Hospital, North Adelaide, South Australia, Australia.

Foot & Ankle International
|October 8, 1998
PubMed
Summary
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The Charcot restraint orthotic walker (CROW) effectively supports patients with early-stage Charcot

Area of Science:

  • Podiatry
  • Orthopedics
  • Diabetic Foot Care

Background:

  • Charcot's neuroarthropathy is a progressive condition affecting the foot and ankle joints, often seen in patients with diabetes mellitus (DM) and hereditary sensorimotor neuropathy (HSMN).
  • Stage 1 neuroarthropathy involves midfoot, subtalar, or ankle joint pathology, requiring management to prevent further joint destruction and skin breakdown.

Purpose of the Study:

  • To evaluate the efficacy of the Charcot restraint orthotic walker (CROW) in managing stage 1 Charcot's neuroarthropathy.
  • To assess the CROW's ability to maintain a plantigrade foot for ambulation and protect affected joints and skin.

Main Methods:

  • Five patients (3 with insulin-dependent diabetes mellitus (IDDM), 1 with non-insulin-dependent diabetes mellitus (NIDDM), and 1 with hereditary sensorimotor neuropathy (HSMN)) with stage 1 Charcot's neuroarthropathy were fitted with a CROW orthosis.

Related Experiment Videos

  • Patients were instructed to fully bear weight and ambulate using the CROW device.

    • Main Results:

    • All patients successfully ambulated and bore full weight while using the CROW.
    • Patients reported varying degrees of symptom and functional improvement at an average 12-month follow-up.

    Conclusions:

    • The Charcot restraint orthotic walker (CROW) is a valuable orthotic intervention for stage 1 pedal Charcot's neuroarthropathy.
    • CROW provides uniform weight distribution, protecting joints and skin, and facilitating ambulation during the coalescence phase of the pathology.