Jarl Gustav, Tranberg Roy
Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Diabet Foot Ankle. 2017 Jul 25;8(1):1348178. doi: 10.1080/2000625X.2017.1348178. eCollection 2017.
: Non-removable knee-high devices are the gold standard to treat diabetic foot ulcers located on the plantar forefoot, but they immobilize the ankle, which restricts daily life activities and has negative effects on joint functioning. : To investigate the feasibility of sealing a therapeutic shoe to off-load and heal diabetic forefoot ulcers. : A case series of seven men with type 2 diabetes and a metatarsal head ulcer were prescribed therapeutic shoes and custom-made insoles. The shoe was sealed with a plastic band. Off-loading was assessed with the F-scan pressure measurement system. Adherence to wearing the shoe was assessed with a temperature sensor and by documenting the status of the seal. : The off-loading was effective and all ulcers healed. Median time to healing was 56 days (range 8-160). Complications were secondary ulcer ( = 1) and plantar hematoma ( = 1). Five of seven participants did not disturb the seal. : Sealing a therapeutic shoe is a feasible way to off-load and heal forefoot ulcers. A controlled trial is needed to compare the effectiveness and safety of a sealed shoe to other non-removable devices.
不可拆卸的膝上型装置是治疗位于足底前足的糖尿病足溃疡的金标准，但它们会固定脚踝，这限制了日常生活活动并对关节功能产生负面影响。：研究密封治疗鞋以减轻负荷并治愈糖尿病前足溃疡的可行性。：对7名患有2型糖尿病和跖骨头溃疡的男性进行了病例系列研究，为他们开具了治疗鞋和定制鞋垫。鞋子用塑料带密封。使用F扫描压力测量系统评估减负情况。通过温度传感器并记录密封状态来评估对穿鞋的依从性。：减负有效且所有溃疡均愈合。愈合的中位时间为56天（范围8 - 160天）。并发症为继发性溃疡（n = 1）和足底血肿（n = 1）。7名参与者中有5名未破坏密封。：密封治疗鞋是减轻前足溃疡负荷并使其愈合的可行方法。需要进行对照试验以比较密封鞋与其他不可拆卸装置的有效性和安全性。
