Abstract
We all know that increased plantar foot pressure is a leading cause of ulceration in the diabetic population. Healing of these ulcers requires adequate blood supply, control of infection, excellent wound care and ‘offloading’ or pressure redistribution of the ulcerative area [1, 2]. Out of all these factors, ‘offloading’ is a unique challenge in treating chronic wounds. As diabetic foot care has evolved over the years, podiatrists have used numerous approaches including complete bed rest, cutout felt pads, crutches, wheelchairs, zimmer frame, temporary shoes, ortho wedge shoes like rocker-bottom wedge design shoes and total contact casting to offload these wounds [3, 4, 5].
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Brand PW (1983) The diabetic foot. In: Diabetes mellitus, theory and practice. Ellenberg M, Rifkin H, (Eds), 3d edition New York: Medical Examination Publishing pp 803–828
Frykberg RG, Bailey LF, Matz A, et al. (2002) Offloading properties of a rocker insole: A preliminary study. JAPMA 92(1):48–52
American Diabetes Association (1999) Consensus development conference on diabetic foot wound care. Diabetes Care 22:1354–1360
Pinzur MS, Dart HC (2001) Pedorthic management of the diabetic foot. Foot Ankle Clin 6(2):205–214
Armstrong DG, Liswood PL, Todd WF (1995) Potential risks of accommodative padding of neuropathic ulcerations. Ostomy Wound Management 41:44–49
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kari, S.V. The economical way to off-load diabetic foot ulcers [Mandakini off-loading device]. Indian J Surg 72, 133–134 (2010). https://doi.org/10.1007/s12262-010-0042-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-010-0042-3