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из Dear Friends, 62 year old femaie, registered blind, IDDM with peripheral neuropathy, Diabetic nephropathy, and blindness - also most likely due to dabetic retinopathy, referred to me with deformity of the ankle and an ulcer on the lateral malleolus, No pain. It is obviously a Charcot's ankle but what are the options? B K Amputation or a TTC fusion after removal of metalwork and healing of ulcer? Patient wants to walk and a bit reluctant for an amputation which is my preferred option. Any suggestions? Kind Regards, Mr. Jaysheel V Mehta MBBS,MS(Orth),MCh(Orth),MRCSEd,FRCSEd(Tr & Orth) Consultant Orthopaedic Surgeon The Pennine Acute Hospitals NHS Trust Rochdale Infirmary Whitefield Road Rochdale Lancashire OL12 0NB UK
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