糖尿病足减压：矫形和足部矫形策略。

Offloading of the diabetic foot: orthotic and pedorthic strategies.

作者信息

McCartan Brant L, Rosenblum Barry I

机构信息

Beth Israel Deaconess Medical Center, Harvard Medical School, 185 Pilgrim Road, Baker Span 3, Boston, MA 02215, USA; Private Practice, Milwaukee Foot Specialists, 3610 Michelle Witmer Memorial Drive, Suite 110, New Berlin, WI 53151, USA.

出版信息

Clin Podiatr Med Surg. 2014 Jan;31(1):71-88. doi: 10.1016/j.cpm.2013.09.004.

DOI:10.1016/j.cpm.2013.09.004

PMID:24296019

Abstract

The diabetic foot is more susceptible than the non-diabetic foot to collapse. This frequently leads to bony prominences followed by ulceration. Offloading of areas of increased pressure is paramount to ulcer prevention and healing. Several devices and accommodations can aid practitioners in saving patients' extremities and allow them to ambulate. A team approach works best, and patient education is a must. Regular assessment and modifications are required for longevity of each device. In this article, different therapeutic options are detailed. A variety of presentations and situations are discussed and the authors' best tips for avoiding complications are offered.

摘要

糖尿病足比非糖尿病足更容易塌陷。这常常导致骨突，进而引发溃疡。减轻压力增加部位的负荷对于预防和治疗溃疡至关重要。有几种装置和辅助器具可以帮助医生挽救患者的肢体并使其能够行走。团队协作的方法效果最佳，对患者的教育也必不可少。为了使每个装置长期有效，需要定期进行评估和调整。本文详细介绍了不同的治疗选择。讨论了各种临床表现和情况，并提供了作者避免并发症的最佳建议。