E10.74 E14
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients with diabetic foot syndrome: -chronic wound since at least 4 weeks - Wagner stage 1-2 -ABI (ankle-brachial-index) 0.7-1.2 - Patients with Diabetic mellitus receive a therpaiy HbA1c<=7,5% - appropriate pressure relief General inclusion criteria: -signed declaration of informed consent and data protection -males and females -older than 18 years
Exclusion criteria
Exclusion criteria: -Presence of an ABI (=Ankle Brachial Index) of 1,2 - patient with malignant disease - Wagner stage 3-5 - osteitis/Osteomyelitis in wound region - untreated wound infektion (leukocytes>12 000/miicroliter) - General exclusion criteria: - pregnancy - participation in other clinical studies either concurrently or within the last 30 days - Noncompliance (Patient does not wear the shoes, does not carry out local therapy or terminates it, - Evidence of any major life-threatening or serious medical condition (sytemic infection) - Heart pacemaker and implanted defibrillator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment whether ESWT with the linear focused device FBL10x5G2 improves secondary wound healing: - measurement of the wound area by photo planimetry (in % and mm2) - analyzing the rate of wound healing as reduction of the lesion divided by the initial area (in percent) in the treatment and follow up period (in %) | — |
Secondary
| Measure | Time frame |
|---|---|
| - percentage of comlete wound closure . - tissue oxygenation and microvascular blood flow at wound border and within the wound by O2C measurement - tissue temperature of the wound bed outside and within the wound by thermography (IR-Kamera Fluke Ti25). -bactericidal effect: change in microbial count/ swab culture -percentage of change in pain symptoms on VAS scale 1 – 10 - increased angiogenesis and increased growth factors in wound biopsy | — |
Countries
Germany
Contacts
Abteilung für Allgemein und Viszeralchirurgie Chirurgische Universitätsklinik Freiburg