Management of Diabetic Foot Ulcers with Two Forefoot Offloading Techniques: Case Series.
| Autor: | Dunlap LJ; In the Department of Orthopaedics and Rehabilitation, Center for Healing in the Lower Extremity, Albuquerque, New Mexico, USA, Leslie J. Dunlap, DMSc, MSPA-C, CWS, is Physician Assistant, University of New Mexico Hospital; and Eric Lew, DPM, FACFAS, is Associate Professor, University of New Mexico Health Sciences Center. In the Department of Rehabilitation Services, University of New Mexico Hospital, Regina Gallegos, MPT, CWS, and Richard Murdoch, PT, CWS, are Physical Therapists and Simone Mulvihill, PTA, is Physical Therapy Assistant., Lew E, Gallegos R, Murdoch R, Mulvihill S |
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| Jazyk: | angličtina |
| Zdroj: | Advances in skin & wound care [Adv Skin Wound Care] 2024 Aug 01; Vol. 37 (8), pp. 434-439. |
| DOI: | 10.1097/ASW.0000000000000178 |
| Abstrakt: | Abstract: Offloading is a key principle to healing diabetic foot ulcers. Nonremovable knee-high offloading devices are considered the criterion standard for offloading plantar forefoot ulcers. However, patients exhibit a limited tolerance for these devices, which contributes to a lack of use. In this case series describing two patients, the authors share two alternative offloading modalities for the treatment of diabetic plantar forefoot ulcers. One patient was managed using a football offloading dressing, and the other was managed with a modified felted football dressing. The football and modified felted football offloading dressings provide a cost-effective, less time-consuming application and often are a better-tolerated alternative to nonremovable knee-high offloading devices. Clinical findings support further investigation into dressing options tolerated by patients with improved adherence and optimal healing outcomes. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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