Interní Med. 2007; 9(2): 78-83

The contribution of prosthetic care and specialized hygienic footwear in complicated cases of diabetic foot

MUDr. Emil Záhumenský1, Ing. Pavel Rádl2
1 Centrum diabetické nohy, Zlín
2 ORCO ZLÍN - technická ortopedie spol. s r. o., Zlín

Category risk assessment and a choice of adequate hygienic footwear are vital in prevention of ulcers. Shoes should be manufactured already during the ulcer healing. A computer plantoscopy with measuring insoles can rationally assess properties of individual shoes and insoles concerning the distribution of local pressures. Protective home footwear is essential in less mobile diabetics in high risk.

Keywords: Key words: diabetic foot, prophylactic shoes, computer plantoscopy.

Published: March 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Záhumenský E, Rádl P. The contribution of prosthetic care and specialized hygienic footwear in complicated cases of diabetic foot. Interní Med. 2007;9(2):78-83.
Download citation

References

  1. Abbott CA, Carrington AL, Ashe H, et al. Tho North-West Diabetes Footcare Study: incidence of, and risk factors for, new diabetic foot ulcers in a community - based cohort. Diabet Med 2002; 20: 377-384. Go to original source... Go to PubMed...
  2. Abbott CA, Vileikyte L,Williamson S, et al. Multicentre study of the incidence of and predictive factors for diabetic foot ulceration. Diabetes care 1998; 21: 1071-1078. Go to original source... Go to PubMed...
  3. Armstrong DG, Nguyen HC, Lavery LA, van Schie CH, Boulton AJ, Harkless LB. Offloading the diabetic foot wound: a randomized clinical trial. Diabetes care 2001; 24: 1019-1022. Go to original source... Go to PubMed...
  4. Armstrong DG, Peters E, Athanasiou KA, Lavery LA. Is there a critical level of plantar foot pressure to indentify patients at risk for neurophatic foot ulceration? J Foot Ankle Surg 1998; 37: 303-307. Go to original source... Go to PubMed...
  5. Birke JA, Pavich MA, Patout CA Jr, Horswell R. Comparison of forefoot ulcer healing using alternative off-loading methods in patients with diabetes mellitus. Adv Skin Wound Care 2002; 15: 210-215. Go to original source... Go to PubMed...
  6. Boulton AJM, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers.N Engl. J Med 2004; 351: 48-55. Go to original source... Go to PubMed...
  7. Boulton AMJ, The Pathway to Ulceration: Aetiopathogenesis. In Boulton AMJ, Cavanagh PR, Rayman G, The Foot in Diabetes (4rd edn). Chichester: Wiley, 2006; 51-53. Go to original source...
  8. Bus SA, Ulbrecht JS, Cavanagh PR. Pressure relief and load redistribution by custom-made-insoles in diabetic patients with neuropathy and foot deformity. Clin Biochem (Bristol, Avon) 2004; 19: 629-638. Go to original source... Go to PubMed...
  9. Busch K, Chantelau E. Effectiveness of a new brand of stock ´diabetic´ shoes to protect against diabetic foot ulcer relapse. A prospective cohort study. Diabet Med 2003; 20: 665-669. Go to original source... Go to PubMed...
  10. Cavanagh PR, Ulbrecht JS. Clinical plantar pressure measurement in diabetes: rationale and methodology. Foot 1994; 4: 123-135. Go to original source...
  11. Cavanagh PR, Ulbrecht JS. Footwear for People with Diabetes. In Boulton AJM, Cavanagh PR, Gerry Rayman, The Foot in Diabetes (4rd edn). Chichester: Wiley, 2006; 337-349. Go to original source...
  12. Cavanagh PR, Ulbrecht JS. What the Practising Clinician Should Know About Foot Biomechanice. In Boulton AJM, Cavanagh PR, Gerry Rayman, The Foot in Diabetes (4rd edn). Chichester: Wiley, 2006; 87. Go to original source...
  13. Connor H, Mahdi OZ. Repetitive ulceration in neuropathic patients. Diabetes metab Res Rev 2004; 20: S23-28. Go to original source... Go to PubMed...
  14. Davis BL. Foot ulceration: hypotheses concerning shear and vertical forces akting on adjacent region of skin. Med.Hypotheses 1993; 40: 44-47. Go to original source... Go to PubMed...
  15. Hayda R, Tremaine MD, Tremaine K, Banco S, Treed K. Effect of metatarsal pads a their positioning: a quantitative assesment. Foot Ancle Int 1994; 15: 561-566. Go to original source... Go to PubMed...
  16. Holmes GB Jr, Timmermannn L. Aquantitative assessment of the effect of metatarsal pads on plantar pressures. Foot Ancle 1990; 11: 141-145. Go to original source... Go to PubMed...
  17. Chantelau E. Footwear for the hight-risk patient. In Boulton AMJ, Connor H, Cavanagh PR (Eds), The Foot in Diabetes (3rd edn). Chichester: Wiley, 2000; 131-142. Go to original source...
  18. Jirkovská A a kolektiv: Syndrom diabetické nohy. Maxdorf 2006; 30-34.
  19. Jirkovská A. Ekonomické a sociální faktory u pacientů se syndromem diabetické nohy: In Tošenovský P., Edmonds ME et al. Galén 2004: 10-11.
  20. Krawczyk P. Funkční ortézování a kalceotická péče u neurologických onemocnění. Abstrakta - 4. konference České Bobath asociace - Terapeutické postupy u neurologických onemocnění, Praha, Motol, 2005.
  21. Lacigová S. Charcotova osteoartropatie-diabetická neuroartropatie: In Rušavý Z., et al. Diabetická noha. Diagnostika a terapie v praxi. Galén, 1998: 80-81.
  22. Litzelman DK, Marriott DJ, Vinicor F. Independent physiological predictors of foot lesions in patients with NIDDM. Diabetes Care 1997; 14: 296-300. Go to original source... Go to PubMed...
  23. Mc Neely MJ, Boyko EJ, Ahroni JH,et al. The independent contributions of diabetic neuropathy and vasculopathy in foot ulceration. Diabetes Care 1995; 18: 216-219. Go to original source... Go to PubMed...
  24. Mezinárodní pracovní skupina pro syndrom diabetické nohy. Syndrom diabetické nohy. Mezinárodní konsenzus. Amsterodam. 1999. České vydání: Ed. A. Jirkovská, Galén, Praha 2000.
  25. Murray HJ, Young MJ, Boulton AJM. The relationship between callus formation, hight foot pressures and neuropathy in diabetes foot ulceration. Diab Med 1996; 16: 979-982. Go to original source...
  26. Perry JE, Hall JO, Davis BL. Simultaneous meassurement of plantar pressure and shear forces in diabetic individuals. Gait Posture 2002; 15: 101-107. Go to original source... Go to PubMed...
  27. Reiber GE, Vileikyte L, Bojko EJ, et al. Causal pathways for incident lower extremity ulcers in patients with diabetes from two settings. Diabetes Care 1999; 22: 157-162. Go to original source... Go to PubMed...
  28. Reiber GE. Who is at risk of limb loss and what to do about it? J Rehabil Res Dev 1994; 31: 357-362.
  29. Rozema A, Ulbrecht JS, Pammer SE, Cavanagh PR. In-shoe plantar pressures during activities of daily living:implications for therapeutic footwear desing. Foot Ankle Int 1996; 17: 352-359. Go to original source... Go to PubMed...
  30. Rušavý Z, et al. Diabetická noha. Diagnostika a terapie v praxi. Galén, 1998: 16-25.
  31. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA 2005; 293: 217-228. Go to original source... Go to PubMed...
  32. Uccioli L, Faglia E, Monticone G, et al. Manufactured shoes in the prevention of diabetic foot ulcers. Diabetes Care 1995; 18: 1376-1378. Go to original source... Go to PubMed...
  33. Veves A, Murray HJ, Young MJ, Boulton AJ. The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study. Diabetologia 1992; 35: 660-663. Go to original source... Go to PubMed...
  34. Viswanathan V, Madhavan S, Gnanaundaram S, et al. Effectivenes ot different types of footwear insoles for the diabetec neuropatic foot: a follow-up study. Diabetes Care 2004; 27: 474-477. Go to original source... Go to PubMed...
  35. Young MJ, Veves A, Breddy JL, Boulton AJM. The prediction of diabetic neuropathic ulceration usin vibration perception threshold: a prospective study. Diabetes care 1994; 17: 557-560. Go to original source... Go to PubMed...
  36. Záhumenský E, Hlaváček P. Profylaktická a terapeutická obuv. In Tošenovský P, Edmonds ME, et al. Moderní léčba syndromu diabetické nohy. Galén, 2004; 167-179.




Internal Medicine for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.