Borssén B, Bergenheim T, Lithner F
Department of Orthopaedic Surgery, University Hospital of Umeå, Sweden.
J Intern Med. 1996 Oct;240(4):219-25. doi: 10.1046/j.1365-2796.1996.37866000.x.
To prevent worsening of foot deformities in diabetic patients.
A population-based and prospective study.
All patients in the county of Umeå with Type 1 diabetes mellitus (DM) (n = 308) aged 15-50 years.
Examination and individual education was performed. Patients with the most pronounced foot deformities (n = 67) were fitted with custom-made insoles and had repeated foot examinations. An identical examination was used at a 3-year follow-up.
Patients who were fitted with insoles had higher sensory thresholds for vibration compared to those with no insoles. They were older and had longer duration of DM. Improvement of foot deformities was significantly more common in patients after treatment with insoles than in patients without. Plantar ulcers did not occur in patients with moulded insoles.
Information, follow-up examinations and moulded insoles improve neuropathic foot deformities in many patients, even in those with pronounced deformities.
预防糖尿病患者足部畸形恶化。
一项基于人群的前瞻性研究。
于默奥县所有年龄在15至50岁之间的1型糖尿病（DM）患者（n = 308）。
进行检查和个体教育。为足部畸形最明显的患者（n = 67）定制鞋垫，并进行重复的足部检查。在3年随访时采用相同的检查。
与未使用鞋垫的患者相比，使用鞋垫的患者振动感觉阈值更高。他们年龄更大，糖尿病病程更长。与未使用鞋垫的患者相比，使用鞋垫治疗后的患者足部畸形改善更为常见。使用定制鞋垫的患者未发生足底溃疡。
信息、随访检查和定制鞋垫可改善许多患者的神经性足部畸形，即使是畸形明显的患者。
