It's not what you put on, but what you take off: Techniques for debriding and off-loading the diabetic foot wound

Clinical Infectious Diseases

Volumn 39, Issue SUPPL. 2, 2004, Pages

  Armstrong, David G ^a,b,c,e   Lavery, Lawrence A ^d   Nixon, Brent P ^b,c   Boulton, Andrew J M ^e  

^a ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE   (United States)

^b UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY OF ARIZONA   (United States)

^d TEXAS A AND M UNIVERSITY   (United States)

^e MANCHESTER ROYAL INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT; CYTOKINE;

BIOENGINEERING; CONFERENCE PAPER; DEBRIDEMENT; DEVICE REMOVAL; DIABETIC FOOT; HUMAN; INTERMETHOD COMPARISON; PLASTER CAST; PRIORITY JOURNAL; SHOE; TREATMENT PLANNING; WALKING AID; WOUND;

DEBRIDEMENT; DIABETIC FOOT; HUMANS; ORTHOPEDIC EQUIPMENT; SHOES; SOFT TISSUE INFECTIONS; WEIGHT-BEARING;

EID: 3943054082     PISSN: 10584838     EISSN: None     Source Type: Journal    
DOI: 10.1086/383269     Document Type: Conference Paper

References (39)

1. Brand PW. The diabetic foot. In: Ellenberg M, Rifkin H, eds. Diabetes mellitus, theory and practice. 3d ed. New York: Medical Examination Publishing, 1983:803-28.
2. Cavanagh PR, Ulbrecht JS, Caputo GM. Biomechanical aspects of diabetic foot disease: aetiology, treatment, and prevention. Diabet Med 1996; 13(Suppl 1):S17-22.
3. Armstrong DG, Peters EJG, Athanasiou KA, Lavery LA. Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration? J Foot Ankle Surg 1998; 37:303-7.
4. Armstrong DG, Athanasiou KA. The edge effect: how and why wounds grow in size and depth. Clin Podiatr Med Surg 1998; 15:105-8.
5. Armstrong DG, Nguyen HC, Lavery LA, van Schie CH, Boulton AJM, Harkless LB. Offloading the diabetic foot wound: a randomized clinical trial. Diabetes Care 2001; 24:1019-22.
6. Armstrong DG, Jude EB. The role of matrix metalloproteinases in wound healing. J Am Podiatr Med Assoc 2002; 92:12-8.
7. Jude EB, Rogers AA, Oyibo SO, Armstrong DG, Boulton AJM. Matrix metalloproteinase and tissue inhibitor of metalloproteinase expression in diabetic and venous ulcers [abstract]. Diabetologia 2001; 44(Suppl 1):A3.
8. Nwomeh BC, Liang HX, Cohen IK, Yager DR. MMP-8 is the predominant collagenase in healing wounds and nonhealing ulcers. J Surg Res 1999; 81:189-95.
9. Steed DL, Donohoe D, Webster MW, Lindsley L. Effect of extensive debridement and treatment on the healing of diabetic foot ulcers: Diabetic Ulcer Study Group. J Am Coll Surg 1996; 183:61-4.
10. Attinger CE, Bulan E, Blume PA. Surgical debridement: the key to successful wound healing and reconstruction. Clin Podiatr Med Surg 2000; 17:599-630.
11. American Diabetes Association. Consensus development conference on diabetic foot wound care. Diabetes Care 1999; 22:1354-60.
12. Armstrong DG, Lavery LA, Vazquez JR, Nixon BP, Boulton AJM. How and why to surgically debride diabetic foot wounds. J Am Podiatr Med Assoc 2002; 92:402-4.
13. Coleman WC, Brand PW, Birke JA. The total contact cast, a therapy for plantar ulceration on insensitive feet. J Am Podiatr Med Assoc 1984; 74:548-52.
14. Armstrong DG, Lavery LA, Bushman TR. Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts. J Rehabil Res Dev 1998; 35:1-5.
15. Walker SC, Helm PA, Pulliam G. Chronic diabetic neuropathic foot ulcerations and total contact casting: healing effectiveness and outcome probability [abstract]. Arch Phys Med Rehabil 1985; 66:574.
16. Walker SC, Helm PA, Pulliam G. Total contact casting and chronic diabetic neuropathic foot ulcerations: healing rates by wound location. Arch Phys Med Rehabil 1987; 68:217-21.
17. Sinacore DR, Mueller MJ, Diamond JE. Diabetic plantar ulcers treated by total contact casting. Phys Ther 1987; 67:1543-7.
18. Myerson M, Papa J, Eaton K, Wilson K. The total contact cast for management of neuropathic plantar ulceration of the foot. J Bone Joint Surg 1992; 74:261-9.
19. Helm PA, Walker SC, Pulliam G. Total contact casting in diabetic patients with neuropathic foot ulcerations. Arch Phys Med Rehabil 1984; 65:691-3.
20. Shaw JE, Hsi WL, Ulbrecht JS, Norkitis A, Becker MB, Cavanagh PR. The mechanism of plantar unloading in total contact casts: implications for design and clinical use. Foot Ankle Int 1997; 18:809-17.
21. Armstrong DG, Stacpoole-Shea S. Total contact casts and removable cast walkers: mitigation of plantar heel pressure. J Am Podiatr Med Assoc 1999; 89:50-3.
22. Boulton AJM, Bowker JH, Gadia M, et al. Use of plaster casts in the management of diabetic neuropathic foot ulcers. Diabetes Care 1986; 9: 149-52.
23. Kominsky SJ. The ambulatory total contact cast. In: Frykberg RG, ed. The high risk foot in diabetes mellitus. 1st ed. New York: Churchill Livingstone, 1991:449-55.
24. Lavery LA, Armstrong DG, Walker SC. Healing rates of diabetic foot ulcers associated with midfoot fracture due to Charcot's arthropathy. Diabet Med 1997; 14:46-9.
25. Lavery LA, Vela SA, Lavery DC, Quebedeaux TL. Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations: a comparison of treatments. Diabetes Care 1996; 19:818-21.
26. Mueller MJ, Diamond JE, Sinacore DR, et al. Total contact casting in treatment of diabetic plantar ulcers: controlled clinical trial. Diabetes Care 1989; 12:384-8.
27. Lavery LA, Fleishli JG, Laughlin TJ, Vela SA, Lavery DC, Armstrong DG. Is postural instability exacerbated by off-loading devices in high risk diabetics with foot ulcers? Ostomy Wound Manage 1998; 44:26-32, 34.
28. Chantelau E, Breuer U, Leisch AC, Tanudjada T, Reuter M. Outpatient treatment of unilateral diabetic foot ulcers with "half shoes." Diabet Med 1993; 10:267-70.
29. Giacalone VF, Armstrong DG, Ashry HR, Lavery DC, Harkless LB, Lavery LA. A quantitative assessment of healing sandals and postoperative shoes in offloading diabetic foot. J Foot Ankle Surg 1997; 36: 28-30.
30. Hissink RI, Manning HA, van Baal JG. The MABAL shoe, an alternative method in contact casting for the treatment of neuropathic diabetic foot ulcers. Foot Ankle Int 2000; 21:320-3.
31. Fleischli JG, Lavery LA, Vela SA, Ashry H, Lavery DC. Comparison of strategies for reducing pressure at the site of neuropathic ulcers. J Am Podiatr Med Assoc 1997; 87:466-72.
32. Armstrong DG, Liswood PL, Todd WF. The contralateral limb during total contact casting: a dynamic pressure and thermometric analysis. J Am Podiatr Med Assoc 1995; 85:733-7.
33. Armstrong DG, Lavery LA, Harkless LB. Validation of a diabetic wound classification system. The contribution of depth, infection, and ischemia to risk of amputation [see comments]. Diabetes Care 1998; 21: 855-9.
34. Oyibo SO, Jude EB, Tarawneh I, et al. A comparison of two diabetic foot ulcer classification systems: the Wagner and the University of Texas wound classification systems. Diabetes Care 2001; 24:84-8.
35. Gentzkow GD, Iwasaki SD, Hershon KS. Use of Dermagraft, a cultured human dermis, to treat diabetic foot ulcers. Diabetes Care 1996; 19: 350-4.
36. Burden AC, Jones GR, Jones R, Blandford RL. Use of the "Scotchcast boot" in treating diabetic foot ulcers. Br Med J (Clin Res Ed) 1983; 286:1555-7.
37. Knowles A, Armstrong DG, Hayat SA, et al. Offloading the diabetic foot wound utilizing the Scotchcast boot. Ostomy Wound Manage 2002; 48:50-3.
38. Armstrong DG, Lavery LA, Kimbriel HR, et al. Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen. Diabetes Care 2003; 26:2595-7.
39. Armstrong DG, Short B, Nixon BP, Boulton AJM. Technique for fabrication of an "instant" total contact cast for treatment of neuropathic diabetic foot ulcers. J Am Podiatr Med Assoc 2002; 92:405-8.