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Sunday 29 April 2012
Alternatives for pressure relief of neuropathic ulcer in the diabetic foot
R. Gallego Estévez, A. Camp Faulí, C. Viel i Blasco, N. Chaqués Salcedo, H. Peñarrocha Fernández
Diabetic Foot Unit. Clínica Virgen del Consuelo. Instituto Valenciano del Pie. Valencia
Abstract
Among the chronic complications associated with diabetes mellitus, foot ulcers
are present in 15% of patients sometimes in the course of their disease,
and often leads to amputation. These ulcers are usually neuropatic and have
a poor response to mechanical stress that causes high plantar pressures. Using
offloading is an integral part of the healing process, which causes favorable
histologic changes in the ulcer, from a chronic inflammatory state to a
better evolutionary condition. There are many strategies for reducing plantar
pressure which have to be used in a protocol manner to obtain favorable results.
This article presents different methods of pressure reduction underling
the importance for professionals of their use in the management of diabetic
foot ulcers.
http://www.sediabetes.org/gestor/upload/revistaAvances/26-6-14-en.pdf
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