Caravaggi et al. 2007
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Caravaggi C, Sganzaroli A, Fabbi M, Cavaiani P, Pogliaghi I, Ferraresi R, Capello F, Morabito A. Nonwindowed nonremovable fiberglass off-loading cast versus removable pneumatic cast (AircastXP Diabetic Walker) in the treatment of neuropathic noninfected plantar ulcers: a randomized prospective trial. Diabetes Care. 2007 Oct;30(10):2577-8.
Design: Controlled, Randomized, Prospective Trial Subjects: 60 consecutive diabetic patients with neuropathic plantar ulcers Methods: subjects were randomly assigned into 2 groups: • group A : using an Aircast Pneumatic Walker • group B : using the fiberglass off-loading cast Outcomes: Healing time, Healing rate at 90-days, Side effects Results: • Healing time was significantly lower in the fiberglass cast group (average 48 days) compared to the Aircast Walker group (average 71 days) • Healing rate at 90-days follow up was 82.7% in the cast group and 79.3% in the Aircast walker group, with no statistical difference. • Concerning side effects there were no statistical differences between the two groups.
Key message: From the good rate of healing and low risk of complications shown, the Aircast Pneumatic Walker is a valid alternative for treatment of neuropathic plantar ulcers.
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