A functional method of treatment for trophic ulcers of the foot and its stump
Keywords:foot, trophic ulcer, foot’ stump, orthosis
AbstractSeventeen patients were examined: 10 with trophic ulcers on the foot, 7 with those on the foot stump. The functional treatment consisted in using weight relieving orthoses on the ankle joint and foot or foot stump by the patients while standing and walking. Drug and topical treatments of trophic ulcers were performed. Resulting from their complex treatment, all the patients (100 %) developed healing of the trophic ulcers. The data of a biomechanical examination showed improvements in weight-bearing capacity of the damaged lower extremity, rhythmicity of walking and stability in statics and dynamics, particularly in patients with foot stumps. Clinical examples of patients with trophic ulcers on the foot and its stump are given. The weight relieving orthosis on the ankle joint and foot is an effective functional method of treatment for trophic ulcers on the plantar surface of the foot or its stump, which promotes healing of the wound without any limitations for the patient’s motor activity. When the trophic ulcer has healed, the patient is provided with an insole and orthopaedic footwear or with a foot prosthesis in case of a stump.
Neuropathic Foot Syndrome / M. B. Antsiferov, G. R. Galstyan, A. Yu. Tokmakova, I. I. Dedov // The Diabetes. — 2001. — № 2. — Р. 2–9.
Galstyan G. R. Organization of help to patients with diabetic foot syndrome in the Russian Federation / G. R. Galstyan, I. I. Dedov // The Diabetes. — 2009. — № 1. — P. 4–7.
Galstyan G. R. Lesions of lower extremities in patients with diabetes [an electron resource] / G. R. Galstyan // Consilium medicum. — 2006. — Vol. 8, № 9. — Mode of access: old.consilium-medicum.com.
Guriyeva I. V. Prevention and treatment, medical-social rehabilitation and organization of interdisciplinary help to patients with diabetic foot syndrome: abstract of thesis on scientific degree of doctor of med. scien. / I. V. Gurijeva. — M., 2001. — 21 p.
Diabetic foot syndrome in clinical practice [electronic resource] / V. N. Obolenskiy, T. V. Semenova, P. Sh. Leval, A. A. Plotnikov // RMJ. — 2010. — Vol. 18, № 2. — Mode of access: www.rmj.ru/artide_6962.htm.
Tokmakova A. Yu. The modern concept of diagnostics and treatment of chronic wounds in patients with diabetic foot syndrome / A. J. Tokmakova // The Diabetes. — 2009. — № 1. — P. 14–17.
Hoffmann U. Обеспечение ортопедическими приспособлениями диабетической стопы / U. Hoffmann // Orthopädie-Technik. — 1995. — № 11. — Р. 952–954.
Total contact casting in the treatment of diabetic plantar ulcers: controlled clinical trial / M. J. Mueller, J. E. Diamond, D.R.Sinacore et al. // Diabetes Care. — 1989. — Vol. 12. — P. 384–388.
Munro W. A. Dia klinische Effektivität einer entlastenden Knöchel–Fuβ-Orthese bei diabetischen Fuβgesch würen / W. A. Munro, D. Stang, D. Jones // Orthopädie-Technik. — 2007. — № 2. — P. 114–116.
Copyright (c) 2014 Irina Dondoreva, Ruslan Boboshko, Michail Zaitsev, Galina Ponomaryova, Yugenyi Shevchenko
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available after 6 months from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.
Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.
The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).