| Autor: |
Dumont, Isabelle J., Tsirtsikolou, D. M., Lepage, M., Popielarz, S. M., Fayard, A. J., Devemy, F., Fernandez, E., Basuyaux, O., Lepeut, M. S. |
| Zdroj: |
EWMA Journal; May2010, Vol. 10 Issue 2, p46-50, 5p, 4 Color Photographs, 3 Charts |
| Abstrakt: |
Background: 1. Diabetic Foot Ulcers (DFU) heal when offloaded. 2. The Texas University Classification (TUC) has correlated the DFU's classes with the amputation rate. 3. The Ransart boot (RB) is a small, light and removable windowed cast. Aim: To evaluate the efficacy and safety of the RB in the treatment of DFU Class A1 and others (TUC). Research design and methods: Five centers participated in this open, retrospective and multicentre study using the RB for patients with DFU. Ulcers were classified by the (TUC) system. Results: There were 109 patients (mean age 60.4±8.6 years); 57 (69.5%) male. Mean ulcer duration: 163.3±242.1 (SD) days. Mean glycated hemoglobin (HbA1c): 8.3 +/- 1.9%. Seven were lost to follow-up, five developed other major illnesses and three died. Sixty-five patients healed (79%) in a mean time of 79.1 ± 55.6 (SD) days, 17 underwent amputation and 12 (11%) patients were judged non compliant. Conclusions: The AR is similar to the one reported in other studies. Healing time for I-A ulcers matches the one with TCC, for other classes results are similar. No serious complications were recalled and 11% were non compliant. The RB can offload every ulcer with efficacy and safety even with infection and/or ischemia or quiescent Charcot foot. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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