The Effect of Callus Removal on Dynamic Plantar Foot Pressures in Diabetic Patients

Diabetic Medicine - Tập 9 Số 1 - Trang 55-57 - 1992
Matthew J. Young1, Peter R. Cavanagh2, Gwen Thomas2, Marjorie Johnson2, H. J. Murray2, Andrew J.M. Boulton2
1Manchester Diabetes Centre, UK.
2Manchester Diabetes Centre, Manchester, UK

Tóm tắt

Clinical observation suggests that neuropathic foot ulceration frequently occurs beneath plantar callosities and in areas of high dynamic shear and vertical stress underneath the foot during walking. Seventeen diabetic patients had dynamic foot pressure measurements made before and after the removal of a total of 43 forefoot plantar callosities. Peak pressures (mean ± SE) in the treated areas were reduced by 26% from 14.2 ± 1.0 to 10.3 ± 0.9 kg cm−2 (p < 0.001), with reductions at 37 of the 43 sites and in all patients. Mean heel pressures were not significantly different (5.0 ± 0.6 vs 4.9 ± 0.6 kg cm−2). These results suggest that callus may act as a foreign body elevating plantar pressures and that a significant reduction in pressure is achieved by local chiropody treatment.

Từ khóa


Tài liệu tham khảo

Brand PW., 1983, Diabetes Mellitus Theory and Practice, 829

Brand PW., 1988, The Diabetic Foot, 83

10.1002/bjs.1800680904

Boulton AJM., 1987, The Foot in Diabetes, 11

10.2337/diacare.12.9.653

10.1111/j.1464-5491.1990.tb01398.x

Rosen RC, 1985, Hemorrhage into plantar callus and diabetes mellitus, Cutis, 35, 339

Harkless LB, 1987, You see what you look for and recognise what you know, Clin Pod Med Surg, 4, 331, 10.1016/S0891-8422(23)00229-X

10.2337/diacare.6.1.26

10.1016/0268-0033(91)90036-P

10.1016/S0140-6736(88)92120-4

10.2337/diacare.14.1.8

Koziak M., 1959, Etiology and pathology of ischaemic ulcers, Arch Phys Med Rehab, 40, 62

Boulton AJM, 1984, Reduction of abnormal foot pressures in diabetic neuropathy using a new polymer insole material, Diabetes Care, 1, 113

10.1111/j.1464-5491.1989.tb01230.x

Cavanagh PR, 1991, Disorders of the Foot, 1864

Boulton AJM, 1987, The natural history of foot pressure abnormalities in neuropathic diabetic subjects, Diabetes Res, 5, 73

Veves A., 1991, Do high foot pressures lead to foot ulceration? A prospective study (Abstract), Diabetologia, 34, A40

Thông tin
Thông tin xuất bản

Diabetic Medicine

Tập 9 Số 1

55-57

Thông tin tác giả