Special contact splints in postoperative care for patients with the diabetic foot
Authors:
V. Fejfarová; A. Jirkovská; R. Bém; M. Dubský; V. Wosková; A. Němcová; M. Křížová; J. Niklová; O. Caňkářová
Authors‘ workplace:
Centrum diabetologie IKEM, Praha
přednostka: prof. MUDr. T. Pelikánová, DrSc.
Published in:
Rozhl. Chir., 2016, roč. 95, č. 7, s. 257-261.
Category:
Review
Overview
Adequate stabilization and off-loading of the lower limb is an integral part of postoperative care for patients with the diabetic foot. Off-loading can accelerate the healing process and reduce the number of complications and reoperations. The newly introduced method of the performance of removable contact splints (modified contact removable casts) seems to fulfil a number of requirements for stabilization and off-loading devices – the method is safe and can actually reduce the healing time and the number of reoperations in patients with the diabetic foot.
Key words:
diabetic foot – off-loading – splints
Sources
1. Hoogeveen RC, Dorresteijn JA, Kriegsman DM, et al. Complex interventions for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2015;8:CD007610. doi: 10.1002/14651858.CD007610.pub3.
2. La Fontaine J, Lavery LA, Hunt NA, et al. The role of surgical off-loading to prevent recurrent ulcerations. Int J Low Extrem Wounds. 2014;13:320–34.
3. Ston R, Weiss J. [Necrotizing infectious complications in diabetic foot syndrome and their solutions] Czech. Rozhl Chir 2009;88:381–6.
4. Stašek M, Kostalek V, Hruban B, et al. [The role of external fixation in treatment of diabetic foot syndrome] Czech. Rozhl Chir 2008;87:247–9.
5. Jirkovská A. a spol. Syndrom diabetické nohy. Praha, Jessenius Maxdorf 2006.
6. Wosková V, Jirkovská A. Aktuální terapeutické možnosti syndromu diabetické nohy. Intern Med 2008;10:161−4.
7. Armstrong DG, Frykberg RG. Classifying diabetic foot surgery: toward a rational definition. Diabetic Medicine 2003;20:329–31.
8. Baltzis D, Eleftheriadou I, Veves A. Pathogenesis and treatment of impaired wound healing in diabetes mellitus: new insights. Adv Ther 2014;31:817–36.
9. Forsythe RO, Brownrigg J, Hinchliffe RJ. Peripheral arterial disease and revascularization of the diabetic foot. Diabetes Obes Metab 2015;17:435–44.
10. Clerici G, Faglia E. Saving the limb in diabetic patients with ischemic foot lesions complicated by acute infection. Int J Low Extrem Wounds. 2014;13:273–93.
11. Roberts AD, Simon GL. Diabetic foot infections: the role of microbiology and antibiotic treatment. Semin Vasc Surg 2012;25:75–81.
12. Schultz G, Mozingo D, Romanelli M, et al. Wound healing and TIME; new concepts and scientific applications. Wound Repair Regen 2005;13(4 Suppl):S1−11.
13. Miller J, Armstrong DG. Offloading the diabetic and ischemic foot: solutions for the vascular specialist. Semin Vasc Surg 2014;27:68–74.
14. Elraiyah T, Prutsky G, Domecq JP, et al. A systematic review and meta-analysis of off-loading methods for diabetic foot ulcers. J Vasc Surg 2016;63(2 Suppl):59S−68S.e1−2.
15. Cavanagh PR, Bus SA. Off-loading the diabetic foot for ulcer prevention and healing. J Vasc Surg 2010;52(3 Suppl):37S–43S.
16. Fejfarová V, Jirkovská A, a kol. Léčba syndromu diabetické nohy odlehčením. Praha, Maxdorf 2015.
17. Fejfarová V, Jirkovská A, Bém R, et al. Zkušenosti s časným dlahováním končetin po operačních výkonech u pacientů se syndromem diabetické nohy. (Abstract) DMEV 2016;19(Suppl. 1):22−3.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2016 Issue 7
Most read in this issue
- Juxtapapillary duodenal diverticulum causing pancreatobiliary problems - case report and literature review
- Cecal herniation through the foramen of Winslow as a rare cause of ileus
- Parametric monitoring of the quality of total mesorectal excision and surgical treatment of rectal carcinoma − results of a multicenter study
- Special contact splints in postoperative care for patients with the diabetic foot