Neuropathic Foot Ulceration in Individuals With Diabetes
Conditions
Keywords
neuropathic foot ulcerations - total contact cast - custom -made footwear - off-loading
Brief summary
Objective: to compare the effectiveness of irremovable total contact casts and custom made temporary footwear to heal neuropathic foot ulcerations in individuals with diabetes
Detailed description
In this prospective clinical trail, 43 patients with plantar ulcer grade 1 or 2 (wagner scale) were randomized to one of two off-loading modalities: total contact cast or custom-made temporary footwear.outcomes assessed were wound surface area reduction (square cm.)and time to wound healing (days0 at 2,4,8 and 16 weeks. to evaluate safety, possible side effects were recorded at each follow-up visit.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* confirmed diabetes * neuropathic ulcer grade 1/2 (wagner scale) * confirmed sensory neuropathy
Exclusion criteria
* osteomyelitis patients unable to walk * life threatening co-morbidity ankle/brachial index , 0.4
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| wound surface area reduction | — |
Secondary
| Measure | Time frame |
|---|---|
| time to wound healing (days) | — |
Countries
Netherlands