{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:05:44Z","timestamp":1758931544952,"version":"3.44.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dermal temperature differentials between limbs are used to monitor disease progression and support safe withdrawal of immobilisation in Charcot neuro\u2010osteoarthropathy (CNO). Despite the wide clinical use of dermal thermometry, there is a lack of evidence on the optimal temperature stabilisation period after removal of immobilisation devices, such as total contact casts (TCCs). This study aimed to investigate the optimal time period to achieve temperature stabilisation post removal of TCC for assessing dermal temperatures in active CNO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a 2\u2010year period, this within\u2010subjects repeated measures study recruited 12 adults with active CNO treated with TCC from a metropolitan high\u2010risk foot service in Melbourne, Australia. Participants were excluded if they had bilateral CNO, an active foot ulcer, an inflammatory foot condition (e.g., gout), peripheral artery disease or major lower limb amputation. In a temperature\u2010controlled room, dermal temperatures were recorded using an infrared thermometer after removal of TCC and contralateral footwear. Temperatures were recorded at 10\u2010min intervals from baseline to 90\u00a0min at 10 anatomical locations on each foot. Paired samples <jats:italic>t<\/jats:italic>\u2010tests or Wilcoxon signed\u2010rank tests explored temperature stabilisation at each anatomical site across the 10 time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 55.1 (SD, 8.9) years, 75.0% were male and 83.3% had type 2 diabetes. All participants had peripheral neuropathy and a large proportion had history of foot ulceration (75.0%). The average duration of CNO was 2.9 (SD, 1.7) months, with most classified as stage 1 (91.7%), affecting the tarsometatarsal joints (58.3%) and midtarsal joints (83.3%). Overall, dermal temperatures had stabilised by 40 min for the Charcot (casted) foot and contralateral (non\u2010casted) foot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first study to explore the optimal time period to achieve temperature stabilisation when assessing dermal temperatures in active CNO. Forty minutes appears to be an appropriate resting time to reach thermal equilibrium. Although this approach may improve the accuracy of dermal thermometry, the time period may not always be feasible in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70059","type":"journal-article","created":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T02:43:52Z","timestamp":1753497832000},"source":"Crossref","is-referenced-by-count":0,"title":["Optimal Time Period to Achieve Temperature Stabilisation After Total Contact Cast (TCC) Removal for Assessing Dermal Temperatures in Active Charcot Neuro\u2010Osteoarthropathy"],"prefix":"10.1002","volume":"18","author":[{"given":"Justin","family":"Bradley","sequence":"first","affiliation":[{"name":"Department of Podiatry St Vincent's Hospital Melbourne  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mollie","family":"Rumble","sequence":"additional","affiliation":[{"name":"Department of City Futures City of Stonnington Council  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Wong","sequence":"additional","affiliation":[{"name":"Diabetes &amp; Vascular Medicine Unit Monash Health  Victoria Australia"},{"name":"Department of Medicine School of Clinical Sciences at Monash Health Monash University  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Yii","sequence":"additional","affiliation":[{"name":"Department of Vascular and Transplant Surgery Monash Health  Victoria Australia"},{"name":"Department of Surgery School of Clinical Sciences at Monash Health Monash University  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1133-4853","authenticated-orcid":false,"given":"Michelle R.","family":"Kaminski","sequence":"additional","affiliation":[{"name":"Department of Podiatry Monash Health  Victoria Australia"},{"name":"School of Primary and Allied Health Care Monash University  Victoria Australia"},{"name":"Discipline of Podiatry School of Allied Health Human Services and Sport La Trobe University  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3646"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3268"},{"volume-title":"Data Trace","year":"2010","author":"Jeffcoate W. 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