Off-loading the diabetic foot for ulcer prevention and healing

Journal of Vascular Surgery

Volumn 52, Issue 3 SUPPL., 2010, Pages 37S-43S

  Cavanagh, Peter R ^a   Bus, Sicco A ^b  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b ACADEMIC MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL EFFECTIVENESS; DIABETIC FOOT; DISEASE CONTROL; EVIDENCE BASED MEDICINE; FOOT ULCER; HEALTH SURVEY; HUMAN; PRIORITY JOURNAL; PROSPECTIVE PAYMENT; RETROSPECTIVE STUDY; REVIEW; SHOE; ULCER HEALING; WORK; EUROPE; PATHOPHYSIOLOGY; PLASTER CAST; PRACTICE GUIDELINE; PRESSURE; TIME; TREATMENT OUTCOME; UNITED STATES; WALKER; WEIGHT BEARING; WOUND HEALING;

CASTS, SURGICAL; DIABETIC FOOT; EUROPE; EVIDENCE-BASED MEDICINE; GUIDELINE ADHERENCE; HUMANS; PRACTICE GUIDELINES AS TOPIC; PRESSURE; SHOES; TIME FACTORS; TREATMENT OUTCOME; UNITED STATES; WALKERS; WEIGHT-BEARING; WOUND HEALING;

EID: 77956242499     PISSN: 07415214     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jvs.2010.06.007     Document Type: Review

References (80)

1. Leeden M. van der, M.P. Steultjens, C.B. Terwee, D. Rosenbaum, D. Turner, and J. Woodburn A systematic review of instruments measuring foot function, foot pain, and foot-related disability in patients with rheumatoid arthritis Arthritis Rheum 59 2008 1257 1269
2. J.M. Sosenko The prevalence of diabetic neuropathy according to ethnicity Curr Diab Rep 9 2009 435 439
3. D.G. Armstrong Loss of protective sensation: a practical evidence-based definition J Foot Ankle Surg 38 1999 79 80
4. S.C. Wu, R.T. Crews, and D.G. Armstrong The pivotal role of offloading in the management of neuropathic foot ulceration Curr Diab Rep 5 2005 423 429
5. J.H. Bauman, J.P. Girling, and P.W. Brand Plantar pressures and trophic ulceration: an evaluation of footwear J Bone Joint Surg Br 45 1963 652 673
6. A. Veves, H.J. Murray, M.J. Young, and A.J. Boulton The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study Diabetologia 35 1992 660 663
7. H. Pham, D.A. Armstrong, C. Harvey, L.B. Harkless, J.M. Giurini, and A. Veves Screening techniques to identify people at high risk for diabetic foot ulceration Diabetes Care 23 2000 606 611
8. R.G. Frykberg, L.A. Lavery, H. Pham, C. Harvey, L. Harkless, and A. Veves Role of neuropathy and high foot pressures in diabetic foot ulceration Diabetes Care 21 1998 1714 1719
9. R.E. Pecoraro, G.E. Reiber, and E.M. Burgess Pathways to diabetic limb amputation Basis for prevention Diabetes Care 13 1990 513 521
10. S.A. Bus Foot structure and footwear prescription in diabetes mellitus Diabetes Metab Res Rev 24 Suppl 1 2008 S90 S95
11. S.A. Bus, M. Maas, P.R. Cavanagh, R.P.J. Michels, and M. Levi Plantar fat-pad displacement in neuropathic diabetic patients with toe deformity: a magnetic resonance imaging study Diabetes Care 27 2004 2376 2381
12. V. van der Ven, C.B. Chapman, and J.H. Bowker Charcot neuroarthropathy of the foot and ankle J Am Acad Orthop Surg 17 2009 562 571
13. S.A. Bus, M. Maas, L.A. de Lange, R.P. Michels, and M. Levi Elevated plantar pressures in neuropathic diabetic patients with claw/hammer toe deformity J Biomech 38 2005 1918 1925
14. D.G. Armstrong, and L.A. Lavery Elevated peak plantar pressures in patients who have Charcot arthropathy J Bone Joint Surg Am 80 1998 365 369
15. N. Pound, S. Chipchase, K. Treece, F. Game, and W. Jeffcoate Ulcer-free survival following management of foot ulcers in diabetes Diabet Med 22 2005 1306 1309
16. L.A. Lavery, S.A. Vela, J.G. Fleischli, D.G. Armstrong, and D.C. Lavery Reducing plantar pressure in the neuropathic foot A comparison of footwear Diabetes Care 20 1997 1706 1710
17. J.G. Fleischli, L.A. Lavery, S.A. Vela, H. Ashry, and D.C. Lavery Comparison of strategies for reducing pressure at the site of neuropathic ulcers J Am Podiatr Med Assoc 87 1997 466 472
18. B.J. Beuker, R.W. van Deursen, P. Price, E.A. Manning, J.G. van Baal, and K.G. Harding Plantar pressure in off-loading devices used in diabetic ulcer treatment Wound Repair Regen 13 2005 537 542
19. A. Nagel, and D. Rosenbaum Vacuum cushioned removable cast walkers reduce foot loading in patients with diabetes mellitus Gait Posture 30 2009 11 15
20. J.E. Shaw, W.L. Hsi, J.S. Ulbrecht, A. Norkitis, M.B. Becker, and P.R. Cavanagh The mechanism of plantar unloading in total contact casts: implications for design and clinical use Foot Ankle Int 18 1997 809 817
21. S.A. Bus, R. Waaijman, M. Arts, and H. Manning The efficacy of a removable vacuum-cushioned cast replacement system in reducing plantar forefoot pressures in diabetic patients Clin Biomech (Bristol, Avon) 24 2009 459 464
22. S.A. Bus, R.W. van Deursen, R.V. Kanade, M. Wissink, E.A. Manning, and J.G. van Baal Plantar pressure relief in the diabetic foot using forefoot offloading shoes Gait Posture 29 2009 618 622
23. S.A. Bus, J.S. Ulbrecht, and P.R. Cavanagh Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity Clin Biomech 19 2004 629 638
24. N.A. Guldemond, P. Leffers, N.C. Schaper, A.P. Sanders, F. Nieman, and P. Willems The effects of insole configurations on forefoot plantar pressure and walking convenience in diabetic patients with neuropathic feet Clin Biomech 22 2007 81 87
25. S.F. Praet, and J.W. Louwerens The influence of shoe design on plantar pressures in neuropathic feet Diabetes Care 26 2003 441 445
26. C. van Schie, J.S. Ulbrecht, M.B. Becker, and P.R. Cavanagh Design criteria for rigid rocker shoes Foot Ankle Int 21 2000 833 844
27. P.S. Schaff, and P.R. Cavanagh Shoes for the insensitive foot: the effect of a "rocker bottom" shoe modification on plantar pressure distribution Foot Ankle 11 1990 129 140
28. M. Lord, and R. Hosein Pressure redistribution by molded inserts in diabetic footwear: a pilot study J Rehabil Res Dev 31 1994 214 221
29. C.H. van Schie, A. Whalley, D.G. Armstrong, L. Vileikyte, and A.J. Boulton The effect of silicone injections in the diabetic foot on peak plantar pressure and plantar tissue thickness: a 2-year follow-up Arch Phys Med Rehabil 83 2002 919 923
30. K.S. Maluf, M.J. Mueller, M.J. Strube, J.R. Engsberg, and J.E. Johnson Tendon Achilles lengthening for the treatment of neuropathic ulcers causes a temporary reduction in forefoot pressure associated with changes in plantar flexor power rather than ankle motion during gait J Biomech 37 2004 897 906
31. D.L. Pitei, A. Foster, and M. Edmonds The effect of regular callus removal on foot pressures J Foot Ankle Surg 38 1999 251 255
32. M.J. Young, P.R. Cavanagh, G. Thomas, M.M. Johnson, H. Murray, and A.J. Boulton The effect of callus removal on dynamic plantar foot pressures in diabetic patients Diabet Med 9 1992 55 57
33. M.J. Mueller, J.E. Diamond, D.R. Sinacore, A. Delitto, V.P. Blair 3rd, and D.A. Drury Total contact casting in treatment of diabetic plantar ulcers Controlled clinical trial Diabetes Care 12 1989 384 388
34. D.G. Armstrong, H.C. Nguyen, L.A. Lavery, C.H. van Schie, A.J. Boulton, and L.B. Harkless Off-loading the diabetic foot wound: a randomized clinical trial Diabetes Care 24 2001 1019 1022
35. C. Caravaggi, E. Faglia, R. De Giglio, M. Mantero, A. Quarantiello, and E. Sommariva Effectiveness and safety of a nonremovable fiberglass off-bearing cast versus a therapeutic shoe in the treatment of neuropathic foot ulcers: a randomized study Diabetes Care 23 2000 1746 1751
36. V.G. Ha, H. Siney, A. Hartmann-Heurtier, S. Jacqueminet, F. Greau, and A. Grimaldi Nonremovable, windowed, fiberglass cast boot in the treatment of diabetic plantar ulcers: efficacy, safety, and compliance Diabetes Care 26 2003 2848 2852
37. F. Ezio, C. Carlo, C. Giacomo, S. Adriana, C. Vincenzo, and V. Vanda Effectiveness of removable waler cast versus non-removable fiberglass off-bearing cast in the healing of diabetic plantar foot ulcer- a randomized controlled trial Diabetes Care 2010 [E-pub: doi: 10.2337/dc09-1708]
38. J.E. Diamond, M.J. Mueller, and A. Delitto Effect of total contact cast immobilization on subtalar and talocrural joint motion in patients with diabetes mellitus Phys Ther 73 1993 310 315
39. R.E. Baker Total contact casting J Am Podiatr Med Assoc 85 1995 172 176
40. D.G. Armstrong, L.A. Lavery, and T.R. Bushman Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts J Rehabil Res Dev 35 1998 1 5
41. S.S. Lin, T.H. Lee, and K.L. Wapner Plantar forefoot ulceration with equinus deformity of the ankle in diabetic patients: the effect of tendo-Achilles lengthening and total contact casting Orthopedics 19 1996 465 475
42. A.J. Boulton, J.H. Bowker, M. Gadia, R. Lemerman, K. Caswell, and J.S. Skyler Use of plaster casts in the management of diabetic neuropathic foot ulcers Diabetes Care 9 1986 149 152
43. S.C. Walker, P.A. Helm, and G. Pullium Total contact casting and chronic diabetic neuropathic foot ulcerations: healing rates by wound location Arch Phys Med Rehabil 68 1987 217 221
44. D.R. Sinacore, M.J. Mueller, J.E. Diamond, V.P. Blair III, D. Drury, and S.J. Rose Diabetic plantar ulcers treated by total contact casting A clinical report Phys Ther 67 1987 1543 1549
45. P.W. Laing, D.I. Cogley, and L. Klenerman Neuropathic foot ulceration treated by total contact casts J Bone Joint Surg Br 74 1992 133 136
46. J.A. Birke, A. Novick, S.L. Graham, W.C. Coleman, and D.M. Brasseaux Methods of treating plantar ulcers Phys Ther 71 1991 116 122
47. A. Piaggesi, S. Macchiarini, L. Rizzo, F. Palumbo, A. Tedeschi, and L.A. Nobili An off-the-shelf instant contact casting device for the management of diabetic foot ulcers: a randomized prospective trial versus traditional fiberglass cast Diabetes Care 30 2007 586 590
48. I.A. Katz, A. Harlan, B. Miranda-Palma, L. Prieto-Sanchez, D.G. Armstrong, and J.H. Bowker A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers Diabetes Care 28 2005 555 559
49. D.G. Armstrong, L.A. Lavery, S. Wu, and A.J. Boulton Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial Diabetes Care 28 2005 551 554
50. D.G. Armstrong, L.A. Lavery, H.R. Kimbriel, B.P. Nixon, and A.J. Boulton Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen Diabetes Care 26 2003 2595 2597
51. R.J. Hissink, H.A. Manning, and J.G. van Baal The MABAL shoe, an alternative method in contact casting for the treatment of neuropathic diabetic foot ulcers Foot Ankle Int 21 2000 320 323
52. E. Chantelau, U. Breuer, A.C. Leisch, T. Tanudjaja, and M. Reuter Outpatient treatment of unilateral diabetic foot ulcers with 'half shoes' Diabet Med 10 1993 267 270
53. E.A. Knowles, D.G. Armstrong, S.A. Hayat, K.I. Khawaja, R.A. Malik, and A.J. Boulton Offloading diabetic foot wounds using the scotchcast boot: a retrospective study Ostomy Wound Manage 48 2002 50 53
54. I.J. Dumont, M.S. Lepeut, D.M. Tsirtsikolou, S.M. Popielarz, M.M. Cordonnier, and A.J. Fayard A proof-of-concept study of the effectiveness of a removable device for offloading in patients with neuropathic ulceration of the foot: the Ransart boot Diabet Med 26 2009 778 782
55. F.B. Van De Weg, D.A. Van Der Windt, and A.C. Vahl Wound healing: total contact cast vs. custom-made temporary footwear for patients with diabetic foot ulceration Prosthet Orthot Int 32 2008 3 11
56. M.J. Mueller, D.R. Sinacore, M.K. Hastings, M.J. Strube, and J.E. Johnson Effect of Achilles tendon lengthening on neuropathic plantar ulcers A randomized clinical trial J Bone Joint Surg Am 85 2003 1436 1445
57. A. Piaggesi, E. Schipani, F. Campi, M. Romanelli, F. Baccetti, and C. Arvia Conservative surgical approach versus non-surgical management for diabetic neuropathic foot ulcers: a randomized trial Diabet Med 15 1998 412 417
58. D.G. Armstrong, M.A. Rosales, and A. Gashi Efficacy of fifth metatarsal head resection for treatment of chronic diabetic foot ulceration J Am Podiatr Med Assoc 95 2005 353 356
59. D.G. Armstrong, L.A. Lavery, J.R. Vazquez, B. Short, H.R. Kimbriel, and B.P. Nixon Clinical efficacy of the first metatarsophalangeal joint arthroplasty as a curative procedure for hallux interphalangeal joint wounds in patients with diabetes Diabetes Care 26 2003 3284 3328
60. S.S. Lin, C.M. Bono, and T.H. Lee Total contact casting and Keller arthoplasty for diabetic great toe ulceration under the interphalangeal joint Foot Ankle Int 21 2000 588 593
61. M.H. Nabuurs-Franssen, R. Sleegers, M.S. Huijberts, W. Wijnen, A.P. Sanders, and G. Walenkamp Total contact casting of the diabetic foot in daily practice: a prospective follow-up study Diabetes Care 28 2005 243 247
62. L. Uccioli, E. Faglia, G. Monticone, F. Favales, L. Durola, and A. Aldeghi Manufactured shoes in the prevention of diabetic foot ulcers Diabetes Care 18 1995 1376 1378
63. D.K. Litzelman, D.J. Marriott, and F. Vinicor The role of footwear in the prevention of foot lesions in patients with NIDDM Conventional wisdom or evidence-based practice? Diabetes Care 20 1997 156 162
64. V. Dargis, O. Pantelejeva, A. Jonushaite, L. Vileikyte, and A.J. Boulton Benefits of a multidisciplinary approach in the management of recurrent diabetic foot ulceration in Lithuania: a prospective study Diabetes Care 22 1999 1428 1431
65. V. Viswanathan, S. Madhavan, S. Gnanasundaram, G. Gopalakrishna, B.N. Das, and S. Rajasekar Effectiveness of different types of footwear insoles for the diabetic neuropathic foot: a follow-up study Diabetes Care 27 2004 474 477
66. G.E. Reiber, D.G. Smith, C. Wallace, K. Sullivan, S. Hayes, and C. Vath Effect of therapeutic footwear on foot reulceration in patients with diabetes: a randomized controlled trial JAMA 287 2002 2552 2558
67. R. Dahmen, R. Haspels, B. Koomen, and A.F. Hoeksma Therapeutic footwear for the neuropathic foot: an algorithm Diabetes Care 24 2001 705 709
68. L. Rizzo, I. Teobaldi, E. Fallani, A. Tedeschi, E. Leporati, and V. Scir A structured follow-up reduces the incidence of recurrences in high risk diabetic foot patients: a prospective study (Abstract O-26) September 11-14, 2008 8th Scientific Meeting of the Diabetic Foot Study Group Pisa, Italy
69. M.J. Mueller, D.R. Sinacore, M.K. Hastings, D.J. Lott, M.J. Strube, and J.E. Johnson Impact of achilles tendon lengthening on functional limitations and perceived disability in people with a neuropathic plantar ulcer Diabetes Care 27 2004 1559 1564
70. G.B. Salsich, M.J. Mueller, M.K. Hastings, D.R. Sinacore, M.J. Strube, and J.E. Johnson Effect of Achilles tendon lengthening on ankle muscle performance in people with diabetes mellitus and a neuropathic plantar ulcer Phys Ther 85 2005 34 43
71. M.L. Maciejewski, G.E. Reiber, D.G. Smith, C. Wallace, S. Hayes, and E.J. Boyko Effectiveness of diabetic therapeutic footwear in preventing reulceration Diabetes Care 27 2004 1774 1782
72. S.A. Bus, G.D. Valk, R.W. van Deursen, D.G. Armstrong, C. Caravaggi, and P. Hlavacek The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review Diabetes Metab Res Rev 24 Suppl 1 2008 S162 S180
73. T.M. Owings, J. Apelqvist, A. Stenstrom, M. Becker, S.A. Bus, and A. Kalpen Plantar pressures in diabetic patients with foot ulcers which have remained healed Diabet Med 26 2009 1141 1146
74. International Working Group on the Diabetic Foot International Consensus on the Diabetic Foot and Practical Guidelines on the Management and Prevention of the Diabetic Foot Amsterdam, The Netherlands, on DVD 2007 www.idf.org/bookshop
75. D.J. Margolis, J. Kantor, and J.A. Berlin Healing of diabetic neuropathic foot ulcers receiving standard treatment A meta-analysis Diabetes Care 22 1999 692 695
76. S.C. Wu, J.L. Jensen, A.K. Weber, D.E. Robinson, and D.G. Armstrong Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach? Diabetes Care 31 2008 2118 2119
77. C.E. Fife, M.J. Carter, and D. Walker Why is it so hard to do the right thing in wound care? Wound Repair Regen 18 2010 154 158
78. L. Prompers, M. Huijberts, J. Apelqvist, E. Jude, A. Piaggesi, and K. Bakker Delivery of care to diabetic patients with foot ulcers in daily practice: results of the Eurodiale Study, a prospective cohort study Diabet Med 25 2008 700 707
79. P.R. Cavanagh, B.A. Lipsky, A.W. Bradbury, and G. Botek Treatment for diabetic foot ulcers Lancet 366 2005 1725 1735
80. R.J. Hinchliffe, G.D. Valk, J. Apelqvist, D.G. Armstrong, K. Bakker, and F.L. Game A systematic review of the effectiveness of interventions to enhance the healing of chronic ulcers of the foot in diabetes Diabetes Metab Res Rev 24 Suppl 1 2008 S119-4