Changes in loading distribution in patients with Charcot foot during long-term follow-up

Background. The inactive stage of the diabetic Charcot arthropathy foot (CA) is characterised by fixed foot deformities and an absence of inflammation. However, it remains unclear if the shape of the foot and its biomechanics change during long-term follow-up. Aim. To evaluate changes in loading di...

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Autores principales:	Anastasia G. Demina, Vadim B. Bregovskiy, Irina A. Karpova, Tatiana L. Tcvetkova
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2018
Materias:	diabetes mellitus diabetic osteoarthropathy charcot foot gait physiology computer pedography Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/4c53a12f8b584a2bbe7f35d2aea3b323
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spelling	oai:doaj.org-article:4c53a12f8b584a2bbe7f35d2aea3b3232021-11-14T09:00:21ZChanges in loading distribution in patients with Charcot foot during long-term follow-up2072-03512072-037810.14341/DM9388https://doaj.org/article/4c53a12f8b584a2bbe7f35d2aea3b3232018-05-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/9388https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Background. The inactive stage of the diabetic Charcot arthropathy foot (CA) is characterised by fixed foot deformities and an absence of inflammation. However, it remains unclear if the shape of the foot and its biomechanics change during long-term follow-up. Aim. To evaluate changes in loading distribution of the affected foot, in patients with inactive CA, during long-term follow-up. Materials and methods. Twenty seven patients with unilateral inactive CA (19 females, 8 males) were studied. Computer pedography (emed AT, novel gmbh) was performed and baseline and the last studies were analysed. Maximal peak pressures (PP) were obtained for the first and the last studies and the percentage of the PP change was calculated for the total follow-up period and for periods: <24 months, 24–48 months, >48 months. Results. PP increased: under the hallux 50%; 1st metatarsal–30.7%; 2nd toe–20%; 2nd toe–6%; midfoot–9%. PP decreased under 3–5 toes up to 67%. Significant changes at the first period were found under 3–5 toes only (−62%). The increase in loading under the other parts of the foot appeared at 24 months; however, these changes became significant between 24 and 48 months and peaked after 48 months of follow-up. The maximal increase of PP was noticed under the hallux, the 2nd toe, metatarsals 1–3 and the midfoot. Conclusions. We revealed the gradual redistribution of PP, under the different parts of the foot, in patients with inactive CA. This redistribution reflects changes in the shape of the affected foot. The loading increased under the hallux, the 2nd toe and the corresponding metatarsals, 3rd metatarsal and midfoot, and decreased under the 3–5 toes. These changes increased during the follow-up, becoming more pronounced after 4 or more years. Our data may be useful for constructing custom-made footwear for patients with CA.Anastasia G. DeminaVadim B. BregovskiyIrina A. KarpovaTatiana L. TcvetkovaEndocrinology Research Centrearticlediabetes mellitusdiabetic osteoarthropathycharcot footgait physiologycomputer pedographyNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 21, Iss 2, Pp 99-104 (2018)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus diabetic osteoarthropathy charcot foot gait physiology computer pedography Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus diabetic osteoarthropathy charcot foot gait physiology computer pedography Nutritional diseases. Deficiency diseases RC620-627 Anastasia G. Demina Vadim B. Bregovskiy Irina A. Karpova Tatiana L. Tcvetkova Changes in loading distribution in patients with Charcot foot during long-term follow-up
description	Background. The inactive stage of the diabetic Charcot arthropathy foot (CA) is characterised by fixed foot deformities and an absence of inflammation. However, it remains unclear if the shape of the foot and its biomechanics change during long-term follow-up. Aim. To evaluate changes in loading distribution of the affected foot, in patients with inactive CA, during long-term follow-up. Materials and methods. Twenty seven patients with unilateral inactive CA (19 females, 8 males) were studied. Computer pedography (emed AT, novel gmbh) was performed and baseline and the last studies were analysed. Maximal peak pressures (PP) were obtained for the first and the last studies and the percentage of the PP change was calculated for the total follow-up period and for periods: <24 months, 24–48 months, >48 months. Results. PP increased: under the hallux 50%; 1st metatarsal–30.7%; 2nd toe–20%; 2nd toe–6%; midfoot–9%. PP decreased under 3–5 toes up to 67%. Significant changes at the first period were found under 3–5 toes only (−62%). The increase in loading under the other parts of the foot appeared at 24 months; however, these changes became significant between 24 and 48 months and peaked after 48 months of follow-up. The maximal increase of PP was noticed under the hallux, the 2nd toe, metatarsals 1–3 and the midfoot. Conclusions. We revealed the gradual redistribution of PP, under the different parts of the foot, in patients with inactive CA. This redistribution reflects changes in the shape of the affected foot. The loading increased under the hallux, the 2nd toe and the corresponding metatarsals, 3rd metatarsal and midfoot, and decreased under the 3–5 toes. These changes increased during the follow-up, becoming more pronounced after 4 or more years. Our data may be useful for constructing custom-made footwear for patients with CA.
format	article
author	Anastasia G. Demina Vadim B. Bregovskiy Irina A. Karpova Tatiana L. Tcvetkova
author_facet	Anastasia G. Demina Vadim B. Bregovskiy Irina A. Karpova Tatiana L. Tcvetkova
author_sort	Anastasia G. Demina
title	Changes in loading distribution in patients with Charcot foot during long-term follow-up
title_short	Changes in loading distribution in patients with Charcot foot during long-term follow-up
title_full	Changes in loading distribution in patients with Charcot foot during long-term follow-up
title_fullStr	Changes in loading distribution in patients with Charcot foot during long-term follow-up
title_full_unstemmed	Changes in loading distribution in patients with Charcot foot during long-term follow-up
title_sort	changes in loading distribution in patients with charcot foot during long-term follow-up
publisher	Endocrinology Research Centre
publishDate	2018
url	https://doaj.org/article/4c53a12f8b584a2bbe7f35d2aea3b323
work_keys_str_mv	AT anastasiagdemina changesinloadingdistributioninpatientswithcharcotfootduringlongtermfollowup AT vadimbbregovskiy changesinloadingdistributioninpatientswithcharcotfootduringlongtermfollowup AT irinaakarpova changesinloadingdistributioninpatientswithcharcotfootduringlongtermfollowup AT tatianaltcvetkova changesinloadingdistributioninpatientswithcharcotfootduringlongtermfollowup
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Changes in loading distribution in patients with Charcot foot during long-term follow-up

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