Foot Pressure Abnormalities in the Diabetic Foot

With the development of societies, diabetic foot ulcers have become one of the most common diseases requiring lower extremity amputation. The early treatment and prevention of diabetic foot ulcers can considerably reduce the possibility of amputation. Using footwear to redistribute and relieve plantar pressure is one of the important measures for the treatment and prevention of diabetic foot ulcers. Thus, the evaluation and prediction of the distribution of plantar pressure play an important role in designing footwears. Herein, the finite element method was used to study plantar pressure under two kinds of foot models, namely, the skeletal structure foot model and the whole foot model, to explore the influence of human bones on the pressure of the soles of the feet and obtain accurate foot pressure. Simulation results showed that under the two models, the plantar pressure and the pressure from the footwear with ethylene vinyl acetate were all reduced. The total deformation demonstrated a slight increase. These stresses are very useful as they enable the design of suitable orthotic footwear that reduces the amount of stress in individuals with diabetic foot ulcers.

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Foot Pressure Abnormalities in the Diabetic Foot

The Diabetic Foot ◽

10.1007/978-1-61779-791-0_14 ◽

2012 ◽

pp. 255-274 ◽

Cited By ~ 1

Author(s):

Thomas E. Lyons ◽

Barry I. Rosenblum ◽

Aristidis Veves

Keyword(s):

Diabetic Foot ◽

Foot Pressure

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Clinical and morphological features of reparative processes in patients with the diabetic foot syndrome

Problems of Endocrinology ◽

10.14341/probl11402 ◽

2003 ◽

Vol 49 (1) ◽

pp. 20-25

Author(s):

О. V. Udovichenko. ◽

A. . Yu. Tokmakova ◽

M. B. Antsiferov ◽

P. V. Yushkov ◽

I. I. Dedov

Keyword(s):

Extracellular Matrix ◽

Granulation Tissue ◽

Diabetic Foot ◽

Peak Load ◽

Nerve Fibers ◽

Diabetic Foot Syndrome ◽

Foot Pressure ◽

Adequate Treatment ◽

History Of ◽

Recurrent Ulcers

The purpose of the study was to examine structural abnormalities in the skin and granulation tissue, which explain long-term healing and recurrent trophic ulcers in patients with the neuropathic diabetic foot syndrome who received adequate treatment. Biopsy specimens were taken from the granulation tissue and skin of the edge of a trophic ulcer in 12 patients (mean age 48.4+6.6 years) with types 1 and 2 diabetes mellitus (its duration was 14.0+4. 7 years). All the patients were treated for the neuropathic diabetic foot syndrome according to the generally accepted recommendations. According to the duration of trophic ulcer, the patients were divided into 2 groups: 1) 4 patients with a history of under 3 months and 2) 8 patients with a history of above 3 months. According to the presence or absence of trophic ulcers in the history, all the patients were again divided into Groups A (recurrent ulcers, n = 5) and В (primary ulcers, n = 7). Patients with slowly healing ulcers were found to have an abnormal foot pressure more frequently, as evidenced by computerized pedography (the peak load in the ulcer area being in 63% of them versus 25% in Group 1) and some specific features of granulation tissue (excess of active fibroblasts, immaturity of the extracellular matrix, atrophy and sclerosis of nerve fibers). Patients with recurrent ulcers were older, demonstrated lower vibration perception scores, morphological features, such as abundant active polymorphonuclear leukocytes, mast cells with signs of degranulation and T-helper cells, immature extracellular matrix, fibrinoid necrosis and young capillary vessels with microthrombi. Thus, the detection of the above granulation tissue and wound edge changes (especially with an abnormal foot pressure pattern, significantly low vibration perception scale, and old age) makes it possible to suggest slow healing or recurrence of ulcer.

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Reliability of peak foot pressure in patients with previous diabetic foot ulceration

Gait & Posture ◽

10.1016/j.gaitpost.2019.02.001 ◽

2019 ◽

Vol 70 ◽

pp. 6-11

Author(s):

Pei-Yueng Lee ◽

Pui-Wah Kong ◽

Yong-Hao Pua

Keyword(s):

Diabetic Foot ◽

Foot Pressure ◽

Foot Ulceration

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Tratamientos innovadores utilizados en el manejo de las heridas crónicas

Revista Ciencia y Cuidado ◽

10.22463/17949831.1112 ◽

2017 ◽

Vol 14 (2) ◽

pp. 80

Author(s):

Natalia Rodríguez-Gil ◽

Lorena Martínez-Delgado ◽

Nelson Rolando Campos-Guzman

Keyword(s):

Diabetic Foot ◽

Chronic Wounds ◽

Wound Care ◽

Scientific Evidence ◽

Foot Pressure ◽

Calidad De Vida ◽

Palabras Clave ◽

The Individual ◽

New Treatments ◽

Type Of Injury

RESUMENIntroducción: Del tipo de tratamiento y la eficacia del mismo depende la evolución y la mejora en la calidad de vida del paciente con heridas crónicas; existen diversos tratamientos para las heridas crónicas de acuerdo con el tipo de lesión, la duración del tratamiento y los factores individuales del paciente. Los diversos tratamientos innovadores demuestran resultados favorables en cuanto a la reducción del tiempo y el tamaño de las heridas crónicas. Este artículo tiene como objetivo describir los tratamientos innovadores utilizados en el manejo de las heridas crónicas, de uso poco frecuente en las clínicas de heridas. Metodología: revisión de la literatura estructurada en tres fases: recolección de artículos en bases de datos como Scopus, Pubmed, Dialnet, Ebscohots, y Elsevier; uso de palabras clave como pie diabético, herida crónica y úlcera por presión; revisión y clasificación de 50 artículos en idioma español, inglés y portugués. Resultados: se registraron 12 tratamientos innovadores para el manejo de las heridas cónicas, cada uno con evidencia científica de su utilidad en los distintos tipos de heridas crónicas. Conclusión: conocer nuevos tratamientos ayuda al enfermero a ampliar las opciones de intervención, presentar alternativas de tratamiento de menor costo, o más rápida dependiendo del tipo de herida y la condición del paciente.PALABRAS CLAVE: Úlcera de la Pierna, pie diabético, úlcera por presión.INNOVATIVE TREATMENTS USED IN THE HANDLING OF CHRONIC WOUNDSABSTRACTIntroduction: The type of treatment and its efficacy depends on the evolution and the improvement of the quality of life of the patient with chronic wounds; diverse treatments exist for chronic wounds according to the type of injury, duration of the treatment, and the individual factors of the patient. The diverse innovative treatments demonstrate favorable results in terms of reduction of time and size of chronic wounds. This article has as its objective to describe the innovative treatments used in the handling of chronic wounds, of infrequent use in wound care centers. Methodology: review of the structured literature in three phases: recollection of articles in databases such as Scopus, Pubmed, Dialnet, Ebscohots, and Elsevier; use of keywords such as diabetic foot, chronic wound, and pressure ulcer; review and classification of 50 articles in Spanish, English, and Portuguese. Results: 12 innovative treatments were registered for the handling of chronic wounds, each one with scientific evidence of their utility in the different types of chronic wounds. Conclusion: determine new treatments helps the nurse to extent the intervention options, and present treatment alternatives of lower cost or faster treatment depending on the type of wound and the condition of the patient.KEYWORDS: Leg ulcer, diabetic foot, pressure ulcerTRATAMENTOS INOVADORES UTILIZADOS NO MANEJO DAS FERIDAS CRÓNICASRESUMO Introdução: Do tipo de tratamento e da eficácia do mesmo depende a evolução e a melhora na qualidade de vida do paciente com feridas crónicas; existem diversos tratamentos para as feridas crónicas de acordo ao tipo de lesão, à duração do tratamento, e aos fatores individuais do paciente. Os diversos tratamentos inovadores demostram resultados favoráveis em quanto à redução do tempo e o tamanho das feridas crónicas. Este artigo tem como objetivo descrever os tratamentos inovadores utilizados no manejo das feridas crónicas, de uso pouco frequente nas clínicas de feridas. Metodologia: revisão da literatura estruturada em três fases: recolecção de artigos em bases de dados como Scopus, Pubmed, Dialnet, Ebscohots e Elsevier; uso de palavras chave como pé diabético, ferida crónica e úlcera por pressão; revisão e classificação de 50 artigos em idioma Espanhol, Inglês e Português. Resultados: registraram-se 12 tratamentos inovadores para o manejo das feridas cónicas, cada um com evidencia científica de sua utilidade nos diferentes tipos de feridas crónicas. Conclusão: o conhecimento de novos tratamentos ajuda ao enfermeiro a ampliar as opções de intervenção, apresentando alternativas de tratamento mais rápidas ou de menor custo, dependendo do tipo de ferida e da condição do paciente.Palavras-chave: Pé diabético, Úlcera da Perna, Úlcera por pressão

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Foot Pressure Abnormalities, Radiographic, and Charcot Changes in the Diabetic Foot

Diabetic Foot Ulcer ◽

10.1007/978-981-15-7639-3_7 ◽

2020 ◽

pp. 121-134

Author(s):

Ahmad Faraz ◽

Hamid Ashraf ◽

Saifullah Khalid ◽

Razeen Fatima

Keyword(s):

Diabetic Foot ◽

Foot Pressure

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The Thermo-Pressure Concept: A New Model in Diabetic Foot Risk Stratification

Applied Sciences ◽

10.3390/app11167473 ◽

2021 ◽

Vol 11 (16) ◽

pp. 7473

Author(s):

Sarah Perren ◽

Cynthia Formosa ◽

Liberato Camilleri ◽

Nachiappan Chockalingam ◽

Alfred Gatt

Keyword(s):

Diabetic Foot ◽

Assessment Tool ◽

Arterial Disease ◽

Healthy Individuals ◽

Foot Pressure ◽

Foot Ulceration ◽

Group A ◽

Group B ◽

Peripheral Arterial ◽

Group D

Elevated foot pressure and high temperatures have been proposed as predictive factors for diabetic foot ulceration; however, on their own, their predictive value is still questionable. This pilot study hypothesized that combining these two measurements in a thermo-pressure model could result in a more reliable risk assessment tool for providing risk categorization aimed to determine whether there is a correlation between foot plantar pressure and temperature in patients living with diabetes mellitus (DM) when compared with healthy individuals following a 15 min walk. Foot pressure and thermographic images were taken from 48 participants who were categorised into four groups following clinical evaluation into healthy individuals (Group A), living with DM with no complications (Group B), DM with peripheral arterial disease (Group C) and DM patients with neuropathy (Group D). This study demonstrated a positive correlation between pressure and temperature; as pressure increases, so does temperature. This was more pronounced in the groups with DM when compared to the healthy group. More research is warranted to further develop this innovative thermo-pressure model, which could hopefully be more sensitive in categorizing and identifying patients living with DM who are at risk of developing foot ulceration to initiate prompt care.

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Definitive surgical treatment for diabetic forefoot ulcer

International Surgery Journal ◽

10.18203/2349-2902.isj20185030 ◽

2018 ◽

Vol 5 (12) ◽

pp. 3982

Author(s):

M. K. Rajendran

Keyword(s):

Surgical Treatment ◽

Head And Neck ◽

Diabetic Foot ◽

Major Amputation ◽

Diabetic Patients ◽

Foot Pressure ◽

College Hospital ◽

Medical College ◽

Diabetic Population ◽

Short Time

Background: Diabetic foot ulcers are common among 15% of the diabetic population, at one stage of life that may progress to minor or major amputation, because of not healing with all modalities of the treatment. Since recurrent rate is >90%. But the surgical treatment of the forefoot ulcer so-called surgery offloading will heal the ulcer within a short time and prevent minor of major amputation. The purpose of this study was to compare different outcome measures in the audit of the management of diabetic foot ulcers.Methods: Totally 20 diabetic patients were included in the study. The study was conducted in the department of plastic surgery, Government Mohan Kumaramangalam Medical College Hospital, from 2016-2018. Followed 20 patients with a surgical procedure called surgical offloading is by removing pressure element in head and neck of metatarsal bone involved.Results: Among the 20 patients wound healed, in about 12 patients within 4 to 5 week and its remaining 5 patients wound healed in 5 to 6 weeks are in other 2 patients it takes. More than 6 weeks to heal. We followed the patients for the past 1 year, out of 20 patients, 2 patients have developed an ulcer in another site, not the same site. In all other patients wound healed completely without any recurrence.Conclusions: In our study reducing the foot pressure by doing an excision of head and neck metatarsal surgically will completely remove the foot pressure over the ulcer site that helps to heal the ulcer without recurrence.

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