Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome

Aim. To estimate offloading efficiency of total contact cast (TCC) and determine factors, affecting trophic ulcer response to treatment with TCC, as well as ways of their compensation. Methods. 30 patients, receiving an outpatient treatment with TCC for diabetic foot syndrome, underwent routine cl...

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Main Authors: Sergey Valentinovich Gorokhov, Oleg Viktorovich Udovichenko, Irina Nikolaevna Ul'yanova, Evgenia Alexandrovna Berseneva, Gagik Radikovich Galstyan
Format: Article
Language:English
Published: Endocrinology Research Centre 2012-09-01
Series:Сахарный диабет
Subjects:
Online Access:https://www.dia-endojournals.ru/jour/article/view/6086
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author Sergey Valentinovich Gorokhov
Oleg Viktorovich Udovichenko
Irina Nikolaevna Ul'yanova
Evgenia Alexandrovna Berseneva
Gagik Radikovich Galstyan
author_facet Sergey Valentinovich Gorokhov
Oleg Viktorovich Udovichenko
Irina Nikolaevna Ul'yanova
Evgenia Alexandrovna Berseneva
Gagik Radikovich Galstyan
author_sort Sergey Valentinovich Gorokhov
collection DOAJ
description Aim. To estimate offloading efficiency of total contact cast (TCC) and determine factors, affecting trophic ulcer response to treatment with TCC, as well as ways of their compensation. Methods. 30 patients, receiving an outpatient treatment with TCC for diabetic foot syndrome, underwent routine clinical examination, pedography and walking activity monitoring. We assessed degree of pressure reduction on the planta and the lesion area in particular, in its correlation with treatment outcome. Results. According to pedography data, TCC reduced peak pressure (maximum for all plantar zones) for 20% (from -70% to 84%) and pressure in the lesion area for 55% (-100%; +359%). Similar change was observed for "pressure-time" integral. Percentage of patients with peak pressure in ulceration area
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spelling doaj.art-f003c3c8fe4a432dae818c4dab8f99702025-02-21T09:29:30ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782012-09-01153505810.14341/2072-0351-60866044Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndromeSergey Valentinovich Gorokhov0Oleg Viktorovich Udovichenko1Irina Nikolaevna Ul'yanova2Evgenia Alexandrovna Berseneva3Gagik Radikovich Galstyan4Endocrinology Research Centre, MoscowDistrict Endocrinology Centre, Outpatient Hospital №22, Moscow, Russian FederationEndocrinology Research Centre, MoscowPirogov Russian National Research Medical University, Moscow, Russian FederationEndocrinology Research Centre, MoscowAim. To estimate offloading efficiency of total contact cast (TCC) and determine factors, affecting trophic ulcer response to treatment with TCC, as well as ways of their compensation. Methods. 30 patients, receiving an outpatient treatment with TCC for diabetic foot syndrome, underwent routine clinical examination, pedography and walking activity monitoring. We assessed degree of pressure reduction on the planta and the lesion area in particular, in its correlation with treatment outcome. Results. According to pedography data, TCC reduced peak pressure (maximum for all plantar zones) for 20% (from -70% to 84%) and pressure in the lesion area for 55% (-100%; +359%). Similar change was observed for "pressure-time" integral. Percentage of patients with peak pressure in ulceration areahttps://www.dia-endojournals.ru/jour/article/view/6086diabetes mellitusdiabetes complicationsdiabetic footfoot ulcerpedographyoffloading dressing
spellingShingle Sergey Valentinovich Gorokhov
Oleg Viktorovich Udovichenko
Irina Nikolaevna Ul'yanova
Evgenia Alexandrovna Berseneva
Gagik Radikovich Galstyan
Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
Сахарный диабет
diabetes mellitus
diabetes complications
diabetic foot
foot ulcer
pedography
offloading dressing
title Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
title_full Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
title_fullStr Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
title_full_unstemmed Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
title_short Pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
title_sort pedographic and clinical assessment of total contact cast immobilization in diabetic foot syndrome
topic diabetes mellitus
diabetes complications
diabetic foot
foot ulcer
pedography
offloading dressing
url https://www.dia-endojournals.ru/jour/article/view/6086
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AT evgeniaalexandrovnaberseneva pedographicandclinicalassessmentoftotalcontactcastimmobilizationindiabeticfootsyndrome
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