title: 5 year retrospective follow-up of new cases of Charcot neuroarthropathy-A single centre experience.
abstract: BACKGROUND
  Few data describe the natural history of Charcot neuroarthropathy treated with a total contact plaster cast (TCC).
  
  
  METHODS
  A 5 year retrospective analysis of 50 patients presenting with an acute CN, Assessing time to clinical resolution into appropriate footwear and assessing if initial immobilisation device influenced resolution time.
  
  
  RESULTS
  During the study period 42 patients (84%) of patients went into remission, 2 died during their treatment, 4 had major amputations, in 2 patients treatment was ongoing. 36 patients were treated with combination offloading devices, 6 were treated with one modality only. Median time to resolution for patients initially treated with a TCC was not significantly shorter than for those treated with a removable below knee boot. 34.9% required re-casting due to clinical deterioration in the removable device.
  
  
  CONCLUSIONS
  More precise measures of resolution of CN are needed to assess the impact of initial treatment modality on time to resolution.
authors: Norwich Medical School, University of East Anglia, Norwich, UK.
authors: C
authors: C
authors: Stark
authors: Norwich Medical School, University of East Anglia, Norwich, UK.
authors: T
authors: T
authors: Murray
authors: Diabetic Foot Clinic, Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
authors: C
authors: C
authors: Gooday
authors: Norwich Medical School, University of East Anglia, Norwich, UK.
authors: I
authors: I
authors: Nunney
authors: Department of Orthopaedic Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
authors: R
authors: R
authors: Hutchinson
authors: Department of Orthopaedic Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
authors: D
authors: D
authors: Loveday
authors: Diabetic Foot Clinic, Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK. Electronic address: ketan.dhatariya@nnuh.nhs.uk.
authors: K
authors: K
authors: Dhatariya
mesh_terms: D000208:Acute Disease; D000368:Aged; D000553:Ambulatory Care / Q000379:methods; D001177:Arthropathy, Neurogenic / Q000175:diagnosis / Q000628:therapy*; D002370:Casts, Surgical; D015331:Cohort Studies; D016208:Databases, Factual; D017719:Diabetic Foot / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization / Q000379:methods; D008297:Male; D008875:Middle Aged; D009989:Orthotic Devices; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D012775:Shoes; D062606:Tertiary Care Centers; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom; D016138:Walking / Q000502:physiology; D016474:Weight-Bearing; D014945:Wound Healing / Q000502:physiology*
keywords: Below knee removable walking boot; Charcot neuroarthropathy; Clinical resolution; Diabetes; Total contact plaster cast