HEALING RATE IN DIABETIC FOOT ULCERS TREATED WITH BIOMEMBRANE AND HYDROCOLLOID POWDER: RANDOMIZED CLINICAL TRIAL

Bacterial load predicts healing rate in neuropathic diabetic foot ulcers.

D espite improved treatment, a significant number of diabetic foot ulcers do not heal and eventually lead to amputation (1–5). The important local factors determining the healing rate of ulcers are pressure at the site of the ulcer, adequacy of blood supply, and infection. It is generally accepted that for optimal healing, infection needs to be treated. However, the definition of infection is a...

Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial.

OBJECTIVES To compare the effects of topical collagen and hydrocolloid on pressure ulcer healing. DESIGN Randomized (allocation concealed), single-blind (outcome assessors), controlled trial with 8-week follow-up. SETTING Eleven nursing homes in central Illinois. PARTICIPANTS Sixty-five patient-residents with Stage II or III pressure ulcers: median age 83.1, median Braden score 12, 63% fe...

Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts.

The purpose of this article is to describe the progression of ulcer healing using total contact casts (TCC) and to examine explanatory variables that may influence ulcer healing. We prospectively studied 25 diabetics with grade I (Meggitt-Wagner) plantar ulcers. All subjects received weekly contact cast changes with wound assessment. Following healing, all subjects were fitted with prescription...

Hyperbaric oxygenation accelerates the healing rate of nonischemic chronic diabetic foot ulcers: a prospective randomized study.

OBJECTIVE To study the effect of systemic hyperbaric oxygenation (HBO) therapy on the healing course of nonischemic chronic diabetic foot ulcers. RESEARCH DESIGN AND METHODS From 1999 to 2000, 28 patients (average age 60.2 +/- 9.7 years, diabetes duration 18.2 +/- 6.6 years), of whom 87% had type 2 diabetes, demonstrating chronic Wagner grades I-III foot ulcers without clinical symptoms of ar...

Low Level Laser Therapy in Treatment of Diabetic Foot Ulcers: Double Blind Controlled Clinical Trial