Distribution and analysis of Charcot foot in diabetes through Amit Jain’s extended “SCC” classification

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.