Elmarsafi et al reported risk factors for a major lower limb amputation following reconstruction of a diabetic Charcot joint. These factors can aid in treatment planning and monitoring. The authors are from Georgetown University.
The deformity associated with the Charcot joint results in high-pressure areas that predispose to ulceration, infection and disability, with repeated need for surgical interventions.
Patient selection: diabetic Charcot joint (neuroarthropathy) status post surgical reconstruction.
Risk factors for a major lower extremity amputation:
(1) postoperative nonunion (OR 8.5)
(2) development of a new site Charcot neuroarthropathy (OR 8.2)
(3) peripheral arterial disease (OR 4.3)
(4) renal disease (OR 3.7)
(5) delayed healing after surgery (OR 2.6)
(6) postoperative osteomyelitis (OR 2.4)
To read more or access our algorithms and calculators, please log in or register.
