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Diabetes Care. 2008 Nov;31(11):2118-9. doi: 10.2337/dc08-0771. Epub 2008 Aug 11.

Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach?

Author information

1
Scholl's Center for Lower-Extremity Ambulatory Research, Rosalind Franklin Universityof Medicine and Science, North Chicago, Illinois, USA. stephanie.wu@rosalindfranklin.edu

Abstract

OBJECTIVE:

Pressure mitigation is crucial for the healing of plantar diabetic foot ulcers. We therefore discuss characteristics and considerations associated with the use of offloading devices.

RESEARCH DESIGN AND METHODS:

A diabetic foot ulcer management survey was sent to foot clinics in all 50 states and the District of Columbia in 2005. A total of 901 geographically diverse centers responded. The survey recorded information regarding usage frequency and characteristics of assessment and treatment of diabetic foot ulcers in each center.

RESULTS:

Of the 895 respondents who treat diabetic foot ulcers, shoe modifications (41.2%, P < 0.03) were the most common form of pressure mitigation, whereas total contact casts were used by only 1.7% of the centers.

CONCLUSIONS:

This study reports the usage and characteristics of offloading devices in the care of diabetic foot ulcers in a broadly distributed geographic sample. Less than 2% of specialists use what has been termed the "gold standard" (total contact cast) for treating the majority of diabetic foot ulcers.

PMID:
18694976
PMCID:
PMC2571059
DOI:
10.2337/dc08-0771
[Indexed for MEDLINE]
Free PMC Article
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