Lazzarini et al. 2020
Back to overview
Lazzarini PA, Jarl G, Gooday C, Viswanathan V, Caravaggi CF, Armstrong DG, Bus SA. Effectiveness of offloading interventions to heal foot ulcers in persons with diabetes: a systematic review. Diabetes Metab Res Rev. 2020 Mar;36 Suppl1(Suppl1):e3275.
Design: Systematic Review Methods: PubMed, EMBASE, and Cochrane databases were searched (July 2014-August 2018) relating to four offloading intervention categories in populations with diabetic foot ulcers: (a) offloading devices, (b) footwear, (c) other offloading techniques, and (d) surgical offloading techniques. Outcomes included: Ulcer healing, plantar pressure, adherence, adverse events, cost-effectiveness etc. Results:
41 studies were included.
•
Key message: Cast and knee-high walkers rendered irremovable are equally effective and the first-choice off-loading intervention for diabetic ulcers.
• High-quality evidence was found for non-removable knee-high offloading devices being more effective than removable offloading devices and therapeutic footwear for healing plantar forefoot and midfoot ulcers. • Total contact casts (TCCs) and non-removable knee-high walkers were shown to be equally effective. • Moderate-quality evidence exists for removable knee-high and ankle-high offloading devices being equally effective in healing, but knee-high devices have a larger effect on reducing plantar pressure and ambulatory activity.
iEnovis
Pubmed
11
© 2022 Enovis Corporation
CONFIDENTIAL
Made with FlippingBook - PDF hosting