The best way to reduce reulcerations: if you understand biomechanics of the diabetic foot, you can do it.

Abstract

Foot ulcer recurrence is still an unresolved issue. Although several therapies have been described for preventing foot ulcers, the rates of reulcerations are very high. Footwear and insoles have been recommended as effective therapies that prevent the development of new ulcers; however, the majority of studies have analyzed their effects in terms of reducing peak plantar pressure rather than ulcer relapse. Knowledge of biomechanical considerations is low, in general, in the team approach to diabetic foot because heterogeneous professionals having competence in recurrence prevention are involved. Assessment of biomechanical alterations define a foot type position; examining foot structure and recording plantar pressure could help in appropriate insole and footwear prescription and design. Patient education and compliance should be taken into consideration for better therapy success. When patients suffer from rigid deformities or have undergone an amputation, surgical offloading should be considered as an alternative.

• Authors: José Luis Lázaro-Martínez, Javier Aragón-Sánchez, Francisco Javier Alvaro-Afonso, Esther García-Morales, Yolanda García-Álvarez, Raúl Juan Molines-Barroso
• Journal: The international journal of lower extremity wounds (Int J Low Extrem Wounds) Vol. 13 Issue 4 Pg. 294-319 (Dec 2014) ISSN: 1552-6941 [Electronic] United States
• PMID: 25256280 (Publication Type: Journal Article, Review)
• Copyright: © The Author(s) 2014.

Topics

• Biomechanical Phenomena (physiology)
• Diabetic Foot (complications)
• Disease Management
• Foot (physiopathology)
• Foot Ulcer (etiology, physiopathology, prevention & control)
• Humans
• Patient Compliance
• Patient Education as Topic
• Pressure (adverse effects)
• Secondary Prevention (education, methods)
• Shoes