Gait & Posture
Volume 31, Issue 1 , Pages 87-92 , January 2010

Can we predict outcome of surgical reconstruction of Charcot neuroarthropathy by dynamic plantar pressure assessment?—A proof of concept study

  • Bijan Najafi

      Affiliations

    • Scholl's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA
    • Corresponding Author InformationCorresponding author at: Human Performance Lab., Shcoll's Center for Lower Extremity Ambulatory Research (CLEAR), The Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine & Science, 3333 Green Bay Road, North Chicago, IL 60064-3037, USA. Tel.: +1 847 578 8456; fax: +1 847 775 6570.
    web address
    • ,
  • Ryan T. Crews

      Affiliations

    • Scholl's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA
    • ,
  • David G. Armstrong

      Affiliations

    • Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona, Tucson, AZ, USA
    • ,
  • Lee C. Rogers

      Affiliations

    • Amputation Prevention Center at Valley Presbyterian Hospital, Los Angeles, CA, USA
    • ,
  • Kamiar Aminian

      Affiliations

    • Ecole Polytechnique Federale de Lausanne, Laboratory of Movement Analysis & Measurement, Lausanne, Switzerland
    • ,
  • James Wrobel

      Affiliations

    • Scholl's Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA

Received 3 December 2008 ,Revised 8 September 2009 ,Accepted 12 September 2009.

References 

  1. Armstrong DG, Todd WF, Lavery LA, Harkless LB, Bushman TR. The natural history of acute Charcot's arthropathy in a diabetic foot specialty clinic. Diabet Med. 1997;14:357–363
  2. Nielson DL, Armstrong DG. The natural history of Charcot's neuroarthropathy. Clin Podiatr Med Surg. 2008;25:53–62vi
  3. Frykberg RG. Osteoarthropathy. Clin Podiatr Med Surg. 1987;4:351–356
  4. Pound N, Chipchase S, Treece K, Game F, Jeffcoate W. Ulcer-free survival following management of foot ulcers in diabetes. Diabet Med. 2005;22:1306–1309
  5. Boulton AJ. The diabetic foot: from art to science, The 18th Camillo Golgi lecture. Diabetologia. 2004;47:1343–1353
  6. Armstrong DG, Kunze K, Martin BR, Kimbriel HR, Nixon BP, Boulton AJ. Plantar pressure changes using a novel negative pressure wound therapy technique. J Am Podiatr Med Assoc. 2004;94:456–460
  7. Armstrong DG, Lavery LA. Elevated peak plantar pressures in patients who have Charcot arthropathy. J Bone Joint Surg Am. 1998;80:365–369
  8. MacWilliams BA, MacWilliams BA, Armstrong PF. Clinical applications of plantar pressure measurement in pediatric orthopedics. In:  Armstrong PF editors. Pediatric gait, 2000 a new millennium in clinical care and motion analysis technology. 2000;p. 143
  9. McPoil TG, Yamada W, Smith W, Cornwall M. The distribution of plantar pressures in American Indians with diabetes mellitus. J Am Podiatr Med Assoc. 2001;91:280–287
  10. Zou D, Mueller MJ, Lott DJ. Effect of peak pressure and pressure gradient on subsurface shear stresses in the neuropathic foot. J Biomech. 2007;40:883
  11. Aminian K, Najafi B, Bula C, Leyvraz PF, Robert P. Spatio-temporal parameters of gait measured by an ambulatory system using miniature gyroscopes. J Biomech. 2002;35:689–699
  12. Aminian K, Trevisan C, Najafi B, Dejnabadi H, Frigo C, Pavan E, et al. Evaluation of an ambulatory system for gait analysis in hip osteoarthritis and after total hip replacement. Gait Posture. 2004;20:102–107
  13. Najafi B. Physical activity monitoring and risk of falling evaluation in elderly people. PhD dissertation. Ecole Polytechnique Federale de Lausanne (EPFL), Electrical Engineering Department; 2003.
  14. Najafi B, Helbostad JL, Moe-Nilssen R, Zijlstra W, Aminian K. Does walking strategy in older people change as a function of walking distance?. Gait Posture. 2009;29:261–266
  15. Bevilacqua NJ, Rogers LC. Surgical management of Charcot midfoot deformities. Clin Podiatr Med Surg. 2008;25:81–94vii
  16. Armstrong DG, Lavery LA. Plantar pressures are higher in diabetic patients following partial foot amputation. Ostomy Wound Manage. 1998;44:30–3234, 36 passim
  17. Lavery LA, van Houtum WH, Ashry HR, Armstrong DG, Pugh JA. Diabetes-related lower-extremity amputations disproportionately affect Blacks and Mexican Americans. South Med J. 1999;92:593–599
  18. Kernozek T, Roehrs T, McGarvey S. Analysis of plantar loading parameters pre and post surgical intervention for hallux vargus. Clin Biomech (Bristol, Avon). 1997;12:S18–S19
  19. van Houtum WH, Lavery LA, Harkless LB. The costs of diabetes-related lower extremity amputations in the Netherlands. Diabet Med. 1995;12:777–781
  20. Patel VG, Wieman TJ. Effect of metatarsal head resection for diabetic foot ulcers on the dynamic plantar pressure distribution. Am J Surg. 1994;167:297–301
  21. Yamamoto H, Muneta T, Asahina S, Furuya K. Forefoot pressures during walking in feet afflicted with hallux valgus. Clin Orthop Relat Res. 1996;323:247–253
  22. Mulier T, Steenwerckx A, Thienpont E, Sioen W, Hoore KD, Peeraer L, et al. Results after cheilectomy in athletes with hallux rigidus. Foot Ankle Int. 1999;20:232–237
  23. Cavanagh PR, Ulbrecht JS, Caputo GM. Elevated plantar pressure and ulceration in diabetic patients after panmetatarsal head resection: two case reports. Foot Ankle Int. 1999;20:521–526
  24. Hastings MK, Mueller MJ, Sinacore DR, Salsich GB, Engsberg JR, Johnson JE. Effects of a tendo-Achilles lengthening procedure on muscle function and gait characteristics in a patient with diabetes mellitus. J Orthop Sports Phys Ther. 2000;30:85–90
  25. Bryant AR, Tinley P, Cole JH. Plantar pressure and joint motion after the Youngswick procedure for hallux limitus. J Am Podiatr Med Assoc. 2004;94:22–30
  26. Lavery LA, Lavery DC, Quebedeax-Farnham TL. Increased foot pressures after great toe amputation in diabetes. Diabetes Care. 1995;18:1460–1462
  27. Frykberg RG, Lavery LA, Pham H, Harvey C, Harkless L, Veves A. Role of neuropathy and high foot pressures in diabetic foot ulceration [In Process Citation]. Diabetes Care. 1998;21:1714–1719
  28. Stess RM, Jensen SR, Mirmiran R. The role of dynamic plantar pressures in diabetic foot ulcers. Diabetes Care. 1997;20:855–858
  29. Armstrong DG, Peters EJ, Athanasiou KA, Lavery LA. Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration?. J Foot Ankle Surg. 1998;37:303–307
  30. Wang JC. Use of external fixation in the reconstruction of the Charcot foot and ankle. Clin Podiatr Med Surg. 2003;20:97–117
  31. Cooper PS. Application of external fixators for management of Charcot deformities of the foot and ankle. Semin Vasc Surg. 2003;16:67–78
  32. Farber DC, Juliano PJ, Cavanagh PR, Ulbrecht J, Caputo G. Single stage correction with external fixation of the ulcerated foot in individuals with Charcot neuroarthropathy. Foot Ankle Int. 2002;23:130–134
  33. Pinzur MS. Neutral ring fixation for high-risk nonplantigrade Charcot midfoot deformity. Foot Ankle Int. 2007;28:961–966
  34. Larsen K, Fabrin J, Holstein PE. Incidence and management of ulcers in diabetic Charcot feet. J Wound Care. 2001;10:323–328

PII: S0966-6362(09)00616-X

doi: 10.1016/j.gaitpost.2009.09.003

Gait & Posture
Volume 31, Issue 1 , Pages 87-92 , January 2010

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