Aim -Charcot Foot is a cause of Non Healing Ulcers in aWDiabetic.Surgery or Total Contact Cast remain the mainstay of treatment.Topical Wound Oxygen (TWO2) have been used in healing of Diabetic Foot ulcers recently.Oxygen delivery to the wound reduce inflammation,increse Growth Factors and helps Epithelialization.This could be used in Charcot Foot Ulcer of a Diabetic presenting with co -morbidities .
Methods- A Diabetic Male with toe amputations 2nd 3rd 4th 5thtoe presented with chronic multiple plantar ulcers of right foot of Wagner Grade 1.Investigations showed impaired renal function,elevated Esr and Hscrp and Peripheral arterial disease and peripheral neuropathy. Radiological examination and Thermography showed signs of Charcot Foot. After informed consent the foot was kept in a sterile closed bag and cyclical pressure applied with TWO2 for ninety minutes for five days a week.These cycles were repeated for ten weeks .Debridement and dressing with sterile gauze with daily follow up was done .The healing was monitored with Thermography and pictures using Wound Zoom Camera. Antibiotics or other medications were avoided due to the co morbidities.
Results- The Charco Foot with multiple plantar ulcers in a Diabetic with all small toe amputations healed with TWO2 with a cyclical pressure of 25mm of Hg given for 90 minutes for 5 days a week for ten weeks.
Conclusions- TWO2 is an option for healing of Chronic plantar ulcers in Charcot Foot in a Diabetic.