The International Journal of Lower Extremity Wounds

 

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The International Journal of Lower Extremity Wounds, Vol. 3, No. 1, 12-15 (2004)
DOI: 10.1177/1534734604263291

Decreasing Foot Pressures While Implementing Topical Negative Pressure (Vacuum-Assisted Closure) Therapy

David G. Armstrong, DPM, MSc

Department of Surgery, Podiatry Section, Southern Arizona Veterans Affairs Medical Center, Tucson, University of Arizona, Tucson armstrong{at}usa.net

Lawrence A. Lavery, DPM, MPH

Department of Surgery, Texas A&M University, Temple

Over the past generation, there have been a number of significant advances in wound healing in general. Unfortunately, much of this has not translated into increased success in healing wounds on the sole of the foot. We believe that much of this therapeutic disconnect has to do with an inadequate merging of pressure off-loading technologies and active wound-healing technologies. This article discusses such a merger between removable cast walkers and topical negative pressure (also known as vacuum-assisted closure).

Key Words: chronic wounds • diabetes • amputation • offloading • vacuum assisted closure


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