Surveillance and early detection of altered biomechanical parameters help keeping reconstructed ulcer healed
| Autor: | R. Periyasamy, Richa Poddar, V. B. Narayana Murthy |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
cast application patient monitoring foot sole Early detection high risk patient patient compliance ulcer healing biomechanics Danger sign Indirect evidence equipment design male Diabetes mellitus medicine Semmes Weinstein monofilament human Patient compliance Healed ulcer power ratio business.industry adult risk assessment skin sensitivity medicine.disease major clinical study diabetic neuropathy foot ulcer hardness digestive system diseases Surgery aged Plastic surgery female parameter priority journal shoe disease severity pressure measurement business debridement shoremeter diabetic foot Foot (unit) early diagnosis |
| Zdroj: | European Journal of Plastic Surgery. 32:131-140 |
| ISSN: | 1435-0130 0930-343X |
| DOI: | 10.1007/s00238-008-0324-1 |
| Popis: | Diabetic ulcers in neuropathic feet are difficult to manage. In earlier studies, appropriate footwear helps healing but recurrent ulceration, recalcitrant and difficult ulcers need surgical intervention. Keeping surgically reconstructed ulcers healed is a great challenge in diabetes mellitus patients when the primary cause of ulceration, reduced sensibility of skin persists. We have developed a system of keeping these surgically treated ulcers under surveillance so that early danger signs are detected. Easy color-coded printouts of pressures in the foot help us to explain to the patients the severity of the foot at risk. It also motivates the patients to attend follow-up and comply with using the appropriate footwear thus keeping healed ulcer healed. Indirect evidence, looking at the footprints on the undersurface of the appropriate footwear demonstrates its effectiveness and patient compliance. � 2009 Springer-Verlag. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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