Offloading the Diabetic Foot Using Forefoot Offloading Shoes
نویسندگان
چکیده
INTRODUCTION Most plantar foot ulcers in diabetic patients are caused by a combination of neuropathy and elevated plantar pressure and develop in the regions of forefoot and toes. Casting devices (i.e. Total Contact Cast or Mabal shoe) are commonly used for offloading these ulcers. Alternatively, in many diabetic foot centers where casting technicians are absent, prefabricated forefoot offloading shoes (FOS) are used for ulcer treatment. However, little is known about the biomechanical effectiveness of the FOS. Therefore, the purpose of this study was to assess the effectiveness of FOS in offloading the forefoot in diabetic patients with peripheral neuropathy.
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