Emerging Insights On Ex-Fix Offloading For Diabetic Foot Ulcers

William P. Grant, DPM, FACFAS, Lisa M. Grant, and Bryan R. Barbato, BS

   In comparison, other studies utilizing TCC had averages of 43 days of therapy duration, a 90.3 percent healing rate, a 23.4 percent complication rate and a 32 percent ulcer recurrence rate.1-12

Final Notes

Offloading external fixation is a valuable and beneficial tool for the podiatrist to employ in limb salvage. Just as TCC has become a gold standard for less complex diabetic foot ulcers, the external fixator may in fact become acknowledged as a gold standard in complex diabetic wound repair.

   Dr. Grant is a Fellow of the American College of Foot and Ankle Surgeons, and is board-certified by the American Board of Podiatric Surgery. He is an instructor in the Department of Surgery at Eastern Virginia Medical School and is in private practice in Virginia Beach, Va.

   Ms. Grant is a third-year podiatric medical student at Des Moines Medical University.

   Mr. Barbato is a graduate of James Madison University and a current applicant to colleges of podiatric medicine.

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