The International Journal of Lower Extremity Wounds

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by van Schie, C. H. M
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by van Schie, C. H. M
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
The International Journal of Lower Extremity Wounds, Vol. 4, No. 3, 160-170 (2005)
DOI: 10.1177/1534734605280587

Reviews

A Review of the Biomechanics of the Diabetic Foot

C. H. M van Schie, MSc, PhD

University of Amsterdam, the Netherlands, C.H.vanSchie{at}amc.uva.nl

In general, diabetic foot ulcers result from abnormal mechanical loading of the foot, such as repetitive moderate pressure applied to the plantar aspect of the foot while walking. Diabetic peripheral neuropathy causes changes in foot structure, affecting foot function and subsequently leading to increased plantar foot pressure, which is a predictive risk factor for the development of diabetic foot ulceration. Prevention of diabetic foot ulceration is possible by early identification of the insensitive foot, therefore a foot "at risk," and by protecting the foot from abnormal biomechanical loading. Abnormal foot pressures can be reduced using several different approaches, including callus debridement, prescription of special footwear, injection of liquid silicone, Achilles tendon lengthening, and so forth. Off-loading of the diabetic wound is a key factor in successful wound healing, as it is associated with reduced inflammatory and accelerated repair processes. Pressure relief can be achieved using various off-loading modalities including accommodative dressing, walking splints, ankle-foot orthosis, total contact cast, and removable and irremovable cast walkers.

Key Words: diabetic foot • foot ulcer • diabetic neuropathy • biomechanics


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J. Am. Podiatr. Med. Assoc.Home page
A. C. Fauli, C. L. Andres, N. P. Rosas, M. J. Fernandez, E. M. Parreno, and C. O. Barcelo
Physical Evaluation of Insole Materials Used to Treat the Diabetic Foot
J Am Podiatr Med Assoc, May 1, 2008; 98(3): 229 - 238.
[Abstract] [Full Text] [PDF]

Home page
 DiabetesHome page
C. S. Andreassen, J. Jakobsen, and H. Andersen
Muscle Weakness: A Progressive Late Complication in Diabetic Distal Symmetric Polyneuropathy
Diabetes, March 1, 2006; 55(3): 806 - 812.
[Abstract] [Full Text] [PDF]