Morgan J M, Biehl W C, Wagner F W
Wagner Foot and Ankle Institute, Los Angeles, California.
Clin Orthop Relat Res. 1993 Nov(296):58-63.
A recently designed Charcot Restraint Orthotic Walker (CROW) was used in the treatment of 18 patients with diabetic neuroarthropathy involving the foot and ankle. Eight of these patients had no surgery before the use of the CROW. In ten patients, the device was used for prolonged immobilization after surgery for complications of neuropathic joint disease. The CROW is a rigid, custom, full-foot enclosure ankle-foot orthosis. It was used after an initial period of cast immobilization. The CROW effectively controls limb edema, returns the patient to ambulatory activities, and prevents significant progression of deformity. All patients rated their satisfaction with the device as good or excellent. The CROW is an attractive alternative to currently used methods to provide the prolonged immobilization and protection necessary for healing in neuropathic arthropathy.
一种最近设计的夏科氏约束矫形步行器（CROW）被用于治疗18例累及足踝部的糖尿病性神经关节病患者。其中8例患者在使用CROW之前未接受过手术。10例患者在因神经病变性关节病并发症手术后使用该装置进行长期固定。CROW是一种定制的、刚性的、全足包裹式踝足矫形器。它在最初一段时间的石膏固定后使用。CROW能有效控制肢体水肿，使患者恢复行走活动，并防止畸形显著进展。所有患者对该装置的满意度评价为良好或优秀。CROW是目前用于为神经病变性关节病愈合提供必要的长期固定和保护的方法的一种有吸引力的替代方案。
