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dc.contributor.authorKeukenkamp, R
dc.contributor.authorBusch‐Westbroek, TE
dc.contributor.authorBarn, R
dc.contributor.authorWoodburn, J
dc.contributor.authorBus, SA
dc.date.accessioned2021-02-04T01:40:42Z
dc.date.available2021-02-04T01:40:42Z
dc.date.issued2020
dc.identifier.issn0742-3071
dc.identifier.doi10.1111/dme.14438
dc.identifier.urihttp://hdl.handle.net/10072/401655
dc.description.abstractAims To investigate people with Charcot midfoot deformity with regard to plantar pressure, footwear adherence and plantar foot ulcer recurrence. Methods Twenty people with diabetes, Charcot midfoot deformity, plantar foot ulcer history and custom‐made footwear were assessed with regard to barefoot and in‐shoe plantar pressures during walking, footwear adherence (% of daily steps over 7‐day period) and plantar foot ulcer recurrence over 18 months. In a cohort design, they were compared to 118 people without Charcot foot (non‐Charcot foot group) with custom‐made footwear and similar ulcer risk factors. Results Median (interquartile range) barefoot midfoot peak pressures were significantly higher in the Charcot foot group than in the non‐Charcot foot group [756 (260–1267) vs 146 (100–208) kPa; P<0.001]. In‐shoe midfoot peak pressures were not significantly higher in the Charcot foot group [median (interquartile range) 152 (104–201) vs 119 (94–160) kPa] and significantly lower for all other foot regions. Participants in the Charcot foot group were significantly more adherent, especially at home, than participants in the non‐Charcot foot group [median (interquartile range) 94.4 (85.4–95.0)% vs. 64.3 (25.4–85.7)%; P=0.001]. Ulcers recurred in 40% of the Charcot foot group and in 47% of the non‐Charcot foot group (P=0.63); midfoot ulcers recurred significantly more in the Charcot foot group (4/8) than in the non‐Charcot foot group (1/55; P=0.001). Conclusions Effective offloading and very high footwear adherence were found in people with diabetes and Charcot midfoot deformity. While this may help protect against plantar foot ulcer recurrence, a large proportion of such people still experience ulcer recurrence. Further improvements in adherence and custom‐made footwear design may be required to improve clinical outcome.
dc.description.peerreviewedYes
dc.languageen
dc.publisherWiley
dc.relation.ispartofjournalDiabetic Medicine
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.titleFoot ulcer recurrence, plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity: A cohort analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKeukenkamp, R; Busch‐Westbroek, TE; Barn, R; Woodburn, J; Bus, SA, Foot ulcer recurrence, plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity: A cohort analysis, Diabetic Medicine
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2021-02-03T00:10:53Z
dc.description.versionVersion of Record (VoR)
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.rights.copyright© 2020 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
gro.hasfulltextFull Text
gro.griffith.authorWoodburn, Jim


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