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Clin Podiatr Med Surg. 1998 Jan;15(1):105-8.

The edge effect: how and why wounds grow in size and depth.

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Department of Orthopaedics, University of Texas Health Science Center, San Antonio, USA.


The central tenet for healing any wound is pressure redistribution and appropriate d├ębridement. It is generally not what you put on these wounds that heals them, but rather what you take off. If the wound is adequately d├ębrided and plantar pressure is redistributed, in the absence of profound ischemia, most diabetic foot wounds will heal. Off-loading is best achieved by spreading force over a wide area of contact, such as with the total contact cast or certain removable cast walkers.

[Indexed for MEDLINE]

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