Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: a systematic review and meta-analysis.
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Morona JK, Buckley ES, Jones S, Reddin EA, Merlin TL.
Diabetes Metab Res Rev. 2013 Jan 10.
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Press Release:
New Consensus Guidelines and Practical Recommendations Published on the Optimal Use of Off-Loading in Diabetic Foot Ulcer Treatment
Evidence is Clear that Adequate Off-Loading Increases the Likelihood of DFU Healing
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Hi All
I listened to a web cast this am presented by the authors of the article in JAPMA "The Management of Diabetic Foot Ulcers through optimal off loading"
Is there anyone who is using or has experience with using TCC ez here in Australia?
thank you -
Effective and Economic Offloading of Diabetic Foot Ulcers in India with the Bohler Iron Plaster Cast
Priyanka Saikia , Rajalakshmi Hariharan, Nachiket Shankar, Anil Kumar Gaur, Naveen Matthew Jose
Indian Journal of Surgery; 26 August 2015
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Treatment of the diabetic foot by offloading: a systematic review
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Journal of Wound Care Volume 24, Issue 12
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A systematic review and meta-analysis of off-loading methods for diabetic foot ulcers
Tarig Elraiyah, MBBS, Gabriela Prutsky, MD, Juan Pablo Domecq, MD, Apostolos Tsapas, MD, PhD, Mohammed Nabhan, MD, Robert G. Frykberg, DPM, MPH, Belal Firwana, MD, Rim Hasan, MD, Larry J. Prokop, MLS, Mohammad Hassan Murad, MD, MPH
Journal of Vascular Surgery; February 2016 Volume 63, Issue 2, Supplement, Pages 59S–68S.e2
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Comparison of Removable and Irremovable Walking Boot to Total Contact Casting in Offloading the Neuropathic Diabetic Foot Ulceration
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Role and Determinants of Adherence to Off-loading in Diabetic Foot Ulcer Healing: A Prospective Investigation.
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"Off-loading adherence is associated with the amount of DFU healing that occurs, while postural instability is a powerful predictor of non-adherence."
Aloha,
It would be interesting to see the compliance rates when compared to the weight of the off loading device. Would a 5 pound cam boot have lower compliance rate than a 1 pound carbon fiber AFO with a rocker spring lever?
Folks want their wounds healed but the medical treatments and modalities we fit and dispense them are sometimes too "big" to swallow. Kind of like dispensing antibiotics the size of basketballs.
We can and should do more.
Mahalo,
Steve -
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The evaluation of off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) randomized controlled trial: study design and rational
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Effectiveness of offloading methods in preventing primary diabetic foot ulcers in adults with diabetes: a systematic review
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Development of a Survey to Explore Factors Influencing the Adoption of Best Practices for Diabetic Foot Ulcer Offloading.
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The efficacy of removable devices to offload and heal neuropathic plantar forefoot ulcers in people with diabetes: a single-blinded multicentre randomised controlled trial
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