Risk Factors for Plantar Foot Ulcer Recurrence in Neuropathic Diabetic Patients

@article{Waaijman2014RiskFF,
  title={Risk Factors for Plantar Foot Ulcer Recurrence in Neuropathic Diabetic Patients},
  author={Roelof Waaijman and Mirjam de Haart and Mark L.J. Arts and Daniel Wever and Anke Verlouw and Frans Nollet and Sicco A. Bus},
  journal={Diabetes Care},
  year={2014},
  volume={37},
  pages={1697 - 1705}
}
OBJECTIVE Recurrence of plantar foot ulcers is a common and major problem in diabetes but not well understood. Foot biomechanics and patient behavior may be important. The aim was to identify risk factors for ulcer recurrence and to establish targets for ulcer prevention. RESEARCH DESIGN AND METHODS As part of a footwear trial, 171 neuropathic diabetic patients with a recently healed plantar foot ulcer and custom-made footwear were followed for 18 months or until ulceration. Demographic data… 
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194 Citations
Highly Influential Citations
11
Background Citations
62
Methods Citations
6
Results Citations
5

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194 Citations

Risk factors for diabetic foot ulcer recurrence: A prospective 2-year follow-up study in Egypt.

Development of a multivariable prediction model for plantar foot ulcer recurrence in high-risk people with diabetes

These validated prediction models help identify those patients that are at increased risk of plantar foot ulcer recurrence and for that reason should be monitored more carefully and treated more intensively.

Neuropathic Diabetic Foot Ulceration

All patients with neuropathic DFU should receive education to improve compliance with treatment, promote ulcer healing and prevent recurrence, and it is important to appreciate and treat any comorbidities that may interfere with wound healing.

Predictors of Outcomes of Foot Ulcers among Individuals with Type 2 Diabetes Mellitus in an Outpatient Foot Clinic

Arterial obstruction, smoking, low hemoglobin, neuropathy, and osteomyelitis increase the likelihood of healing failure while the presence of multiple ulcer, plantar location of ulcers, and neuropathy increase the risk of ulcer recurrence.

Footwear and insole design parameters to prevent occurrence and recurrence of neuropathic plantar forefoot ulcers in patients with diabetes: a series of N-of-1 trial study protocol

This is the first trial assessing footwear and insole interventions in people with diabetes by using a series of N-of-1 trials, and aims to determine which design and modification features of footwear and insoles improve forefoot plantar pressure offloading and adherence inPeople with diabetes and neuropathy.

Incidence and Risk Factors Associated With Ulcer Recurrence Among Patients With Diabetic Foot Ulcers Treated in a Multidisciplinary Setting.

Footwear and insole design features that reduce neuropathic plantar forefoot ulcer risk in people with diabetes: a systematic literature review

There is limited evidence to inform footwear and insole interventions and prescription in this population of people with diabetes, and most studies rely on reduction in plantar pressure measures as an outcome, rather than the occurrence of ulceration.

Reliability of peak foot pressure in patients with previous diabetic foot ulceration.

The Role of Pressure Offloading on Diabetic Foot Ulcer Healing and Prevention of Recurrence

  • S. Bus
  • Medicine
    Plastic and reconstructive surgery
  • 2016
The evidence is reviewed that relieving areas of increased plantar pressure (ie, offloading) can heal plantar foot ulcers and prevent their recurrence, and noninfected, nonischemic neuropathic plantar forefoot ulcers should heal in 6 to 8 weeks with adequate offloading.

The Diabetic Foot: Plantar forefoot ulcer, heel ulcer and minor amputation

It is possible for minor amputations to heal in a large proportion of patients with diabetes, although patients are elderly, with extensive co-morbidity and with severe foot ulcers including infection and/or gangrene in many cases.
...

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