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The economical way to off-load diabetic foot ulcers [Mandakini off-loading device].

作者信息

Kari Sunil V

机构信息

Sou. Mandakini Memorial Hospital, NCM, Deshpandenagar, Hubli, 29 Karnataka India.

出版信息

Indian J Surg. 2010 Apr;72(2):133-4. doi: 10.1007/s12262-010-0042-3. Epub 2010 Jul 1.

Abstract

We all know that increased plantar foot pressure is a leading cause of ulceration in the diabetic population. Healing of these ulcers requires adequate blood supply, control of infection, excellent wound care and 'offloading' or pressure redistribution of the ulcerative area [1, 2]. Out of all these factors, 'offloading' is a unique challenge in treating chronic wounds. As diabetic foot care has evolved over the years, podiatrists have used numerous approaches including complete bed rest, cutout felt pads, crutches, wheelchairs, zimmer frame, temporary shoes, ortho wedge shoes like rocker-bottom wedge design shoes and total contact casting to offload these wounds [3, 4, 5].

摘要

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本文引用的文献

1
Offloading properties of a rocker insole. A preliminary study.
J Am Podiatr Med Assoc. 2002 Jan;92(1):48-53. doi: 10.7547/87507315-92-1-48.
2
Pedorthic management of the diabetic foot.
Foot Ankle Clin. 2001 Jun;6(2):205-14. doi: 10.1016/s1083-7515(03)00089-5.

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