Current Concepts In Offloading Diabetic Foot Ulcers

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21
Author(s): 
Ryan H. Fitzgerald, DPM

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12. Wu SC, Crews RT and Armstrong DG. The pivotal role of offloading in the management of neuropathic foot ulceration. Curr Diab Rep 2005; 5(6):423-9.
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16. Armstrong DG, et al. Quality of life in healing diabetic wounds: does the end justify the means? J Foot Ankle Surg 2008; 47(4):278-82.
17. Armstrong DG, et al. Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care 2001; 24(6):1019-22.
18. Katz IA, et al. A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers. Diabetes Care 2005; 28(3):555-9.
19. Armstrong DG, et al. Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial. Diabetes Care 2005; 28(3):551-4.

















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Matthew Carrollsays: August 26, 2009 at 10:20 am

I am surprised Dr. Fitzgerald omitted mention of the VACOcast Diabetic Foot line of ulcer offloading devices (www.vacodiaped.com, Framingham, MA). This boot is an RCW that incorporates a vacuum beanbag for a more "total contact" fit and it comes with an optional "locking seal" that makes it an iTCC without having to jerry-rig with a cohesive bandage. It is closer to a TCC than alternatives.

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