Foot Problems, Footwear, and Falls

2021 ◽  
pp. 119-129
Author(s):  
Hylton B. Menz
Keyword(s):  
Foot Problems

STUDY OF SURGICAL MANAGEMENT AND COMPLICATIONS OF DIABETIC FOOT ULCER

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr. Devi Das Verma ◽  
Dr. Anil Kumar Saxena
Keyword(s):  
Health Problem ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
World Health ◽  
Foot Ulcers ◽  
Age Group ◽  
Major Health Problem ◽  
Split Skin Grafting ◽  
Foot Problems

Introduction:  Diabetes is one of the most prevalent metabolic chronic diseases due to the imbalance production of insulin. One of the studies reported that in 2010 worldwide 285 million adults had diabetes and this figure may be increase to 439 million by the year 2030. Globally Diabetic foot ulcers (DFUs) constitute major health problem in people that significantly contribute to morbidity and mortality in diabetes patients. Approximate 1.0% to 4.1% of the annual population-based incidences of a diabetic foot ulcer (DFU) were reported. Due to this the lifetime may be as high as 25%. In Asian countries diabetic foot ulcer are major problems which are different from European countries or developing countries.  From many studies reported diabetic foot problems in India are infectious and neuropathic in nature as compared to developed countries. According to World Health Organization (WHO) diabetic foot is defined as lower limb of a diabetic patient characterized by infection, potential risk of pathologic consequences ulceration or destruction of deep tissues associated with neurological abnormalities, various changes in peripheral neuropathy vasculopathy and superimposed infection that are mainly responsible foot ulceration. Ulcers are one kind of abscess which is difficult to treat because of poor wound healing that result from a combination of neuropathy, ischemia and hyperglycemia.  Aim: The main objective was to study the outcome of treatment modalities and it’s relating factors to complication in diabetic foot ulcer.  Material and method:  Total 60 diabetic foot ulcer patients with the age range from 20 to 70 years were included.  From all the patients’ detailed past and present history were recorded.  For all the patients, general, physical and local and systemic examinations were also done. Detail   laboratory examination like Fasting and Post Prandial Blood sugar levels, blood count, ECG, ESR, complete urine examination for the presence of ketone bodies and sugar, x-ray as well as culture and sensitivity of the discharge from ulcer were also done. Patients were treated with various treatment methods like conservative treatment, split skin grafting and amputation. Result: In this study male patients were more in proportion as compared to female. This study showed that maximum with the age group 14 -50 (43.3%) years old followed by 18.3% in 31-40 years old, 16.7% in 61-70 years old.  6.7% showed the least age group as 20 -30 years old.  Out of total 60 patients, 38.3% of the patients showed diabetic ulcer foot which was more whereas 15% showed diabetic gangrene foot which was least. 25% showed diabetic cellulites foot and 21.7% showed as diabetic abscess foot.  Conclusion: Globally as diabetes mellitus cases are increasing and it became rapidly the public health problem. This may be due to burden on economy, health system and on society to manage the diabetic foot problems. Diabetic foot management guidelines must be made into our practice protocols which may preventing limb loss, and decrease mortality and increase the quality of life of the patient. Hence for this it is only possible with the help of foot care education and health care workers.  Hence, foot infection is to put first and care for it like hands. Keywords: Diabetes, foot ulcers, infections, amputations.

The Use of Total Contact Orthoses in Patients with Foot Problems in Foot Clinic, Siriraj Hospital

2020 ◽  
Vol 103 (12) ◽  
pp. 1292-1299
Keyword(s):  
Odds Ratio ◽  
Univariate Analysis ◽  
Stepwise Logistic Regression ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial Tendon Dysfunction ◽  
Stepwise Logistic Regression Analysis ◽  
Cross Sectional ◽  
Siriraj Hospital ◽  
Foot Problems ◽  
Foot Clinic

Objective: To study the use rate, outcome, and concomitant factors of the use of the total contact orthoses (TCO) in the Foot Clinic, Siriraj Hospital Materials and Methods: The present study was a cross-sectional descriptive study collecting data from patient medical records and questionnaires. Patients who had foot problems without impairment of foot sensation and received the TCO from the Foot Clinic between July 2015 and April 2016 were interviewed before and after using the latest TCO for one month. Results: One hundred seven participants were recruited. Most were female (84.1%) with a median age of 59.3 years. The majority had chronic plantar fasciitis (26.2%), posterior tibial tendon dysfunction (PTTD) (25.2%), hallux valgus (21.5%), or metatarsalgia (21.5%). The TCO user was defined as a participant who had to use the TCO for more than three days per week and for more or equal to 50% of daily walking and standing duration. The use rate was 67.3%. The TCO provides standing and walking stability (p=0.008). For patients with metatarsalgia, using the TCO could significantly reduce pain (p=0.002). Using univariate analysis, many factors were found to be associated with the use of the TCO including having level of convenience of putting on or taking off shoes with TCO at 9 or more (odds ratio 2.66, 95% CI 1.16 to 6.12), having difficulty to find proper shoes that fit with the TCO (odds ratio 0.36, 95% CI 0.15 to 0.89), receiving more than one pair of TCO (odds ratio 4.09, 95% CI 1.51 to 11.05), and having level of comfort satisfaction during the TCO use at 9 or more (odds ratio 3.61, 95% CI 1.55 to 8.40). The latter two factors were found to be associated with the use of the TCO from stepwise logistic regression analysis (adjusted odds ratio 3.39, 95% CI 1.18 to 9.71 and 3.02, 95% CI 1.07 to 8.47, respectively). Conclusion: The use of the TCO in the Foot Clinic, Siriraj Hospital was 67.3%. Using the TCO could promote walking stability. Factors affecting the use of the TCO included receiving more than the first pair of TCO and having comfort satisfaction level of 9 or more. Keywords: Use, Total contact orthoses, Total contact insole, Foot problems

scholarly journals Perspectives of healthcare workers on factors influencing diabetes management and diabetic foot problems in Zimbabwe

2020 ◽  
Vol 25 (3) ◽  
pp. 57-62
Author(s):  
Oppah Kuguyo ◽  
Chengeto Muhaso ◽  
Simbarashe Nyandoro ◽  
Joconiah Chirenda ◽  
Vasco Chikwasha ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Healthcare Workers ◽  
Diabetes Management ◽  
Factors Influencing ◽  
Foot Problems

Footwear Characteristics and Foot Problems in Older People

Gerontology ◽  
2005 ◽  
Vol 51 (5) ◽  
pp. 346-351 ◽  
Author(s):  
Hylton B. Menz ◽  
Meg E. Morris
Keyword(s):  
Older People ◽  
Foot Problems

Current Concepts in Diabetic Microvascular Dysfunction

2006 ◽  
Vol 96 (3) ◽  
pp. 245-252 ◽  
Author(s):  
Javier La Fontaine ◽  
Lawrence B. Harkless ◽  
Christian E. Davis ◽  
Marque A. Allen ◽  
Paula K. Shireman
Keyword(s):  
Diabetic Foot ◽  
Vascular System ◽  
Microvascular Dysfunction ◽  
Diabetic Macroangiopathy ◽  
Patients With Diabetes ◽  
Foot Problems ◽  
Control Of Diabetes ◽  
Diabetic Foot Disease ◽  
Foot Disease ◽  
Pathologic Processes

Microvascular dysfunction is an important component of the pathologic processes that occur in diabetic foot disease. The endothelial abnormalities observed in patients with diabetes mellitus are poorly understood, and evidence suggests that endothelial dysfunction could be involved in the pathogenesis of diabetic macroangiopathy and microangiopathy. With the advent of insulin replacement in the early 1900s and increased efforts toward metabolic control of diabetes, long-term complications of this disease have become apparent. These late-term complications are primarily disorders of the vascular system. This article reviews the process of microvascular dysfunction and how it may relate to the pathogenesis of diabetic foot problems. (J Am Podiatr Med Assoc 96(3): 245–252, 2006)

THU0643-HPR Prevalence of Foot Problems in People with Inflammatory Arthritis in Singapore

2016 ◽  
Vol 75 (Suppl 2) ◽  
pp. 1271.3-1272
Author(s):  
K. Carter ◽  
M. Lahiri ◽  
P. Cheung ◽  
A. Santosa ◽  
K. Rome
Keyword(s):  
Inflammatory Arthritis ◽  
Foot Problems

COMMON ORTHOPEDIC PROBLEMS IN CHILDREN

PEDIATRICS ◽  
1956 ◽  
Vol 17 (5) ◽  
pp. 786-791
Author(s):  
C. B. Larson
Keyword(s):  
Weight Bearing ◽  
Gait Pattern ◽  
Normal Range ◽  
Spring Ligament ◽  
Normal Gait ◽  
Longitudinal Arch ◽  
Foot Problems ◽  
Bearing Stress ◽  
Shoe Soles ◽  
Shape And Size

Foot Problems NORMALLY the foot functions differently in stance than it does in motion. During stance, static stresses are most important. The foot may be divided at the midtarsal joints into the hindfoot which receives 60 per cent of the weight-bearing stress and the forefoot which receives 40 per cent of the stress. The spring ligament normally transmits the stresses from hindfoot to forefoot. All degrees of foot shape and size may be natural for a particular individual. Similarly, the gait pattern of a child varies considerably within the normal range. The child should be allowed to establish his own normal gait pattern. During the toddling stages the child's shoe soles should be flexible enough to bend at the toe. One should avoid the use of rigid shoes. Some of the conditions which may alter normal stance or gait follow. Simple Foot Strain Long arch strain is due to abnormal stress on the longitudinal ligament. Inflammatory repair of the ligament produces pain which can be demonstrated by finding an area tender to palpation. Some patients have a depressed longitudinal arch or long spring ligament without foot symptoms. A diagnosis of long arch strain cannot be made unless tenderness is present. A tight heel cord may produce foot strain. The foot accommodates to a tight heel cord by pronation of the forefoot. To correct a tight heel cord, the child should stand away from the wall (while facing it) with the heels flat, then lean forward count to 3. Repeat 5 times twice daily. Pronation

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