offloading

The DFU is healed, now what? Novel offloading techniques to prevent re-ulceration

Problem: Diabetic foot ulceration (DFU) is a complication of diabetes that can lead to infection and/or amputation. DFU occurs in roughly 15 to 25% of patients with diabetes1. Recurrence...

08/19/2021

Clinical Cases Demonstrating Fat Pad Restoration Using a Novel Adipose Allograft Matrix*

Fat pad atrophy is the loss of adipose tissue and cushioning function. There is additional strain and pressure generated which leads to inflammation and micro-injury in the foot, causing ...

08/19/2021

Metatarsal head resection in treatment for recurrent and/or recalcitrant diabetic foot ulcerations

Problem: Diabetic foot ulcers (DFU) are a potentially devastating complication of diabetes. DFU oftentimes precedes amputation. DFU has been estimated to occur in upwards of 15 to 25% of ...

08/19/2021

Effective Heel Pressure Injury Prevention: More Than Just Pillow Talk

Purpose: In the absence of published data, the singular purpose of this project was to assess the effectiveness of pillows used for heel offloading, across a diverse patient and facility ...

08/19/2021

Case Report

The Custom Total Contact Cast to Offload Foot Ulcers in the Presence of Biomechanical Deformities: A Case Report

03/02/2021

Mohammad Junayed Khan, DPM

Anna Stoupine, DPM

Kamal Farha, DPM

Ji Hee Kim, DPM

Poovasit Klinoubol, DPM

The modified total contact cast was designed to accommodate frontal plane biomechanical deformities while providing padding to decrease friction over bony prominences. This technique was successfully used to help heal foot ulcers in a patient...

The modified total contact cast...

03/02/2021

Wound Management & Prevention

Diabetic Foot Ulcers

Pearls for Best Practice in Treating and Offloading DFUs

09/03/2020

James McGuire, DPM, PT, LPed, FAPWHc

Barbara Aung, DPM, CWS, FAPWHc

Offloading is a large piece of the puzzle for treating diabetic foot ulcers, with non-removable devices providing the best pressure relief. These authors discuss effective offloading devices, addressing challenges with patient adherence to...

Offloading is a large piece of...

09/03/2020

Today's Wound Clinic

Diabetic Foot Ulcers

Offloading Diabetic Foot Ulcers With the Next Generation of Pressure Relief

01/31/2020

Windy Cole, DPM, CWSP

Stacey Coe, BA, CCRP

Effective offloading of lower extremity ulcers can mitigate one of the direst consequences of diabetes. These authors take a look at the future of offloading using an innovative device.

Effective offloading of lower...

01/31/2020

Today's Wound Clinic

A Prospective, Randomized Controlled Trial Evaluating the Effectiveness of the Fluid Immersion Simulation System versus an Air Fluidized Bed System in the Acute Post-Operative Management of Pressure Ulcers: Midpoint Study Analysis

Background: Use of pressure offloading support surfaces is considered standard of care for pressure ulcers by most surgeons.  The Fluid Immersion Simulation System (FIS)(Dolphin...

06/10/2019