Emerging Insights On Ex-Fix Offloading For Diabetic Foot Ulcers

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

Additional References
18.  Oznur A, Zgonis T. Closure of major diabetic foot wounds with external fixation. Clin Podiatr Med Surg. 2007;24(3):519-928.
19.  Zgonis T, Oznur A, Roukis TS. A novel technique for closing difficult diabetic cleft foot wounds with skin grafting and a ring-type external fixation system. Oper Tech Orthop. 2006; 16:38-43.
20.  Grant WP, Sullivan R. Sonenshine DE, et al. Electron microscopic investigation of the effects of diabetes mellitus on the Achilles tendon. J Foot Ankle Surg. 1997;36(4):272-278.
21.  Witzke KA, Vinik AL, Grant LM, et al. Loss of RAGE defense: a cause of Charcot neuroarthropathy? Diabetes Care. 2011; 34(7):1617-21.
22. Sheehan P, Jones P, Caselli A, Giurini JM, Veves A. Percent changes in wound area of diabetic foot ulcerations over a 4-week period is robust predictor of complete healing in a 12-week prospective trial. Diabetes Care. 2003;26(6):1879-82.
23.  Sinacore DR. Total contact casting for diabetic neuropathic ulcers. Phys Ther. 1996;76(3):296-301.
24. Sinacore DR, Mueller MJ. Total contact casting in the treatment of neuropathic ulcers. In: Levin ME, O’Neal, LW Bowker JH (eds): The Diabetic Foot, 5th ed. Mosby-Year Book, Inc., St Louis, Mo., 1993, pp. 285-304.

   Editor’s note: For further reading, see “External Fixation: Is It The Answer For Diabetic Limb Salvage?” in the July 2004 issue of Podiatry Today or “Assessing The Use Of Ex-Fix For Offloading In Diabetic Limb Salvage” in the February 2012 issue.

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