{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:06:45Z","timestamp":1767676005123},"reference-count":30,"publisher":"Mark Allen Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:p> This study followed 115 patients with diabetes \u2014 who between them had 140 feet with Charcot's arthropathy \u2014 over six to 114 months (median: 48). A total of 43 patients (37%) developed ulcers in 53 feet. Their treatment was multifactorial. An offloading regimen was adopted, with the use of crutches and therapeutic sandals with soft, individually moulded insoles, followed by adjusted or bespoke shoes. Recalcitrant ulcers were treated with surgery in 16 patients (37%). Antibiotics were needed by 21 patients (49%). <\/jats:p>","DOI":"10.12968\/jowc.2001.10.8.26113","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:56:10Z","timestamp":1400860570000},"page":"323-328","source":"Crossref","is-referenced-by-count":45,"title":["Incidence and management of ulcers in diabetic Charcot feet"],"prefix":"10.12968","volume":"10","author":[{"given":"K.","family":"Larsen","sequence":"first","affiliation":[{"name":"Steno Diabetes Centre, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Fabrin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, County Hospital, Copenhagen, Koege, Denmark and Consultant Surgeon, Steno Diabetes Centre, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.E.","family":"Holstein","sequence":"additional","affiliation":[{"name":"Copenhagen Wound Healing Centre, Bispebjerg Hospital, Denmark and Consultant Surgeon, Steno Diabetes Centre, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_3","volume-title":"The High-risk Foot in Diabetes Mellitus.","author":"Sanders L.E.","year":"1991"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.6.796"},{"key":"p_5","first-page":"763","volume":"232","author":"Edmonds M.E.","year":"1986","journal-title":"Quarterly J Med"},{"key":"p_9","unstructured":"Other investigators have reported elevated peak plantar pressures in Charcot feet12-15as well as an increased period of load at ulcer sites.13,14Such findings have verified the value of using footprint analysis to screen patients at high risk of ulceration."},{"key":"p_13","unstructured":"With regard to chronic ulceration, Pinzur et al.10reported on 47 patients with diabetes and Charcot's arthropathy who had mid-foot deformity. There were 26 ulcerated feet, of which 22 underwent 32 surgical procedures. Surgery was performed when the lesion did not respond to offloading in total plaster cast or custom-made accommodative orthosis (footwear). Procedures included eight resections of non-accommodative bony prominences, five partial tarsalectomies and seven stabilisation procedures. Long-term results included three Syme's, one Chopart's and one midfoot amputation. Six patients had chronic ulceration. That surgical procedures were required in 22 out of 26 feet (85%) demonstrates the difficulties in treating chronic ulceration in the rockerbottom deformity."},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.3109\/17453677608988721"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1016\/0958-2592(93)90063-9"},{"key":"p_18","doi-asserted-by":"crossref","first-page":"100","DOI":"10.3109\/03093648909078221","volume":"13","author":"Larsen K.","year":"1989","journal-title":"Prost Orthot Int"},{"key":"p_20","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-199712010-00005"},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199701)14:1<46::AID-DIA291>3.0.CO;2-T"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400403"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000905"},{"key":"p_24","first-page":"137","volume":"38","author":"Ulbrecht J.S.","year":"1989","journal-title":"Diabetes"},{"key":"p_26","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-81-6-281"},{"key":"p_28","unstructured":"(Abstract). Diab Med 1996; 13: suppl 7, S22."},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B2.7963"},{"key":"p_30","doi-asserted-by":"publisher","DOI":"10.1016\/S0958-2592(98)90052-9"},{"key":"p_35","unstructured":"Bi-valved ankle-foot othoses19-21(removable casts) and patella tendon-bearing braces22are other options in offloading the acute Charcot foot and in the treatment of ulcers."},{"key":"p_36","unstructured":"In our current practice the prefabricated bi-valved air-cushioned orthosis (Aircast)23-24with an individually fitted arch support has now replaced the Rathgeber sandal as standard therapy for acute Charcot breakdown. Primary surgical stabilisation of the acute Charcot foot is another option25-26but indications at present vary."},{"key":"p_38","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1177\/107110070002101105","volume":"2","author":"Pinzur M.S.","year":"2000","journal-title":"Foot Ankle Int"},{"key":"p_40","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900309"},{"key":"p_41","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/00003086-199311000-00011","volume":"296","author":"Morgan J.M.","year":"1993","journal-title":"Clin Orthop"},{"key":"p_42","first-page":"16","volume":"33","author":"Boninger M.L.","year":"1996","journal-title":"J Rehab Res Dev"},{"key":"p_44","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801900909"},{"key":"p_45","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300103"},{"key":"p_48","volume-title":"Foot Ankle Int 1997"},{"key":"p_49","volume-title":"S\u00e5r 2000","author":"Rasmussen A."},{"key":"p_51","first-page":"14","volume":"296","author":"Surgical","year":"1993","journal-title":"Clin Orthop"},{"key":"p_52","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200007000-00005"},{"key":"p_53","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1019"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2001.10.8.26113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T22:05:19Z","timestamp":1653343519000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2001.10.8.26113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,9]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2001,9]]}},"alternative-id":["10.12968\/jowc.2001.10.8.26113"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2001.10.8.26113","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,9]]}}}