alexa [Special manufactured shoes for prevention of recurrent ulcer in diabetic foot syndrome].


Primary Healthcare: Open Access

Author(s): Striesow F

Abstract Share this page

Abstract BACKGROUND: Special bespoke footwear, according to F. I. Tovey, can prevent foot ulceration in patients with diabetic neuropathy. Its main features are: extra depth, shock-absorbing insole, and no toe-cap. Such medical footwear may also be produced industrially for feet without major deformities. However, its clinical efficacy needs to be demonstrated to get the approval by the European Community. PATIENTS AND METHODS: A follow-up study was set up in 57 diabetic patients with a history of neuropathic foot ulceration, to investigate the efficacy of the industrially produced special "Diabeticus" shoe (Thanner GmbH, Höchstädt/Germany). RESULTS: After a mean of 12 (SD 6) months, 26 ulcer relapses were noted. Of these, 8 occurred to 30 patients wearing the protective shoes > 8 hours/day, and 18 occurred to 27 patients wearing normal shoes > 8 hours/day (p < 0.02, Log rank). The relapse rate was unrelated to the appreciably high frequency of podiatry in both groups (median 36 vs 45 days; n.s.). CONCLUSION: The special shoes under study during a 12-month period proved to protect against neuropathic diabetic foot ulcer relapses, when worn more than 8 hours per day.
This article was published in Med Klin (Munich) and referenced in Primary Healthcare: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version