Thursday, April 18, 2024

Charcot joint unloading

Timothy Darling

Dear List

I am seeking suggestions for a patient with bilateral
Charcot joint. He has been in bilateral conventional
AFO’s and custom shoes the past three years. His left
talus has deteriorated and now needs to be unloaded.
He physician believes the right will soon follow.
What I need suggestions with is the type of device to
use. This man is at or near 400 pounds, has edema in
his lower leg. He is unable to donn compression hose
so he uses neoprene knee sleeves to help control the
edema. Any suggestions would be appreciated and past
experiences would also be beneficial.

Thanks in advance.

Tim Darling CPO

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