National Journal of Clinical Orthopaedics
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National Journal of Clinical Orthopaedics

2019, Vol. 3 Issue 4, Part A
Distribution and analysis of Charcot foot in diabetes through Amit Jain’s extended “SCC” classification
Author(s): Amit Kumar C Jain, Apoorva HC, Suresh Kumar and Hariprasad TR
Abstract: 
Objective: To analyze and distribute the Charcot foot in diabetes through the new Amit Jain’s classification for Charcot foot (E “SCC”) and to predict outcomes associated with this new classification.
Materials and Methods: A descriptive retrospective analysis was conducted at 2 different centers in Bengaluru city, India. The study period was for 2 years. An IEC clearance was obtained prior to the study. Statistical analysis was done using SPSS 22 and R environment Ver.3.2.2.
Results: A total of 16 patients were studied who fulfilled inclusion criteria. Majority were males accounting for 68.85% of the cases. 31.3% had acute Charcot foot. Majority of the patients were in type 1 Charcot foot. Midfoot was most commonly involved with pattern III being most common affecting 75% of the patients. Major amputation occurred in 12.5% of the cases and osteomyelitis was significantly associated with major amputation (P-0.008). TCC and Removable cast walker were significantly used in acute Charcot foot.
Conclusion: In this validation study, it is seen that majority of the Charcot foot in clinical practice were of simple type and surgeries were done in type 3 Charcot foot. All the major amputation occurred in type 3 Charcot foot and osteomyelitis had significant association with amputation. There was no mortality in this study. Amit Jain’s classification for Charcot foot is a simple, practical, easy to remember focal classification that guides therapy, serves a good teaching and communicative tool.
Pages: 08-15  |  738 Views  20 Downloads
How to cite this article:
Amit Kumar C Jain, Apoorva HC, Suresh Kumar, Hariprasad TR. Distribution and analysis of Charcot foot in diabetes through Amit Jain’s extended “SCC” classification. Nat J Clin Orthop 2019;3(4):08-15 DOI: https://doi.org/10.33545/orthor.2019.v3.i4a.173
National Journal of Clinical Orthopaedics