Journal of the American Podiatric Medical Association, Vol 87, Issue 8 349-357, Copyright © 1997 by American Podiatric Medical Association

JOURNAL ARTICLE

Off-loading neuropathic wounds associated with diabetes using an ankle-foot orthosis

AS Landsman and R Sage
Dr. William M. Scholl College of Podiatric Medicine, Chicago, IL 60610, USA.

Patients with chronic diabetes have a broad spectrum of associated peripheral neurologic deficits that culminate in an increased susceptibility to ulcer formation. The authors focus on the use of the ankle-foot orthosis as both a treatment and a definitive solution for achieving ulcer closure and for minimizing the chance of ulcer recurrence in the ambulatory patient. An analysis of the pathologic forces encountered, and the solution achieved with the ankle-foot orthosis is presented. In addition, the results from a clinical pilot study in subjects with recalcitrant ulcers secondary to Charcot's neuroarthropathy are presented.

This article has been cited by other articles:

				C. H. M van Schie A Review of the Biomechanics of the Diabetic Foot International Journal of Lower Extremity Wounds, September 1, 2005; 4(3): 160 - 170. [Abstract] [PDF]

				R. Dahmen, R. Haspels, B. Koomen, and A. F. Hoeksma Therapeutic Footwear for the Neuropathic Foot: An algorithm Diabetes Care, April 1, 2001; 24(4): 705 - 709. [Abstract] [Full Text]