Fulltext

Foot ulcers and their association with diabetic Charcot foot complications

Rahman NA 1 , Fauzi AA 2 , Chung TY 2 , Latif LA 3 , Chan SC 4

Affiliations 

  • 1 MBBS (IIUM), MRehab Med (UM), Rehabilitation Physician, Ministry of Health, Rehabilitation Medicine, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia
  • 2 MBBS, MRehab Med Mal, Senior Lecturer and Consultant Rehabilitation Physician, Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 3 MBBS, MRehab Med Mal, Professor and Rehabilitation Physician, Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 4 MBBS, IMU, MRehab Med Mal, Lecturer and Rehabilitation Physician, Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
Aust J Gen Pract, 2020 2 3;49(1-2):48-53.
PMID: 32008261 DOI: 10.31128/AJGP-07-19-4991

Abstract

BACKGROUND AND OBJECTIVES: Diabetic Charcot foot (DCF) can cause gross structural deformities of the foot and ankle. The main objective of this study was to identify complications of DCF and its associated factors.

METHOD: This is a retrospective cohort study. Data on medical background, previous DCF treatment and complications were obtained. Multiple logistic regression analysis was performed to measure factors related to various complications of DCF.

RESULTS: Ninety-eight patient records were retrieved. Of the 83 patients who were still alive, 75.9% (n = 63) had recurrent ulcers, 53.0% (n = 44) had undergone foot surgery and 45.8% (n = 38) had undergone amputation. Patients with a history of recurrent ulcers have the highest predilection to amputation (odds ratio: 8.5; 95% confidence interval: 1.8, 39.1).

DISCUSSION: In terms of DCF complications, foot ulcers are an independent predictor of recurrent foot ulcers, foot surgery and amputation. Regular foot assessment of patients with DCF to prevent ulcers is strongly recommended.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

MeSH terms
Similar publications