Abstract:
UNASSIGNED: Offloading is a key principle to healing diabetic foot ulcers. Nonremovable knee-high offloading devices are considered the criterion standard for offloading plantar forefoot ulcers. However, patients exhibit a limited tolerance for these devices, which contributes to a lack of use. In this case series describing two patients, the authors share two alternative offloading modalities for the treatment of diabetic plantar forefoot ulcers. One patient was managed using a football offloading dressing, and the other was managed with a modified felted football dressing. The football and modified felted football offloading dressings provide a cost-effective, less time-consuming application and often are a better-tolerated alternative to nonremovable knee-high offloading devices. Clinical findings support further investigation into dressing options tolerated by patients with improved adherence and optimal healing outcomes.
摘要:
■卸载是治愈糖尿病足溃疡的关键原则。不可拆卸的膝盖高卸载装置被认为是卸载足底前足溃疡的标准标准。然而,患者对这些设备的耐受性有限,这导致了缺乏使用。在这个描述两名患者的病例系列中,作者分享了两种治疗糖尿病足底前足溃疡的替代卸载方式。一名患者使用足球卸载敷料进行管理,另一个是用改良的毛毡足球服管理的。足球和改良的毡足球卸载敷料提供了具有成本效益的,耗时更少的应用,并且通常是不可拆卸的膝盖高卸载设备的耐受性更好的替代品。临床发现支持对具有改善的依从性和最佳愈合结果的患者耐受的敷料选择的进一步研究。