الفهرس | Only 14 pages are availabe for public view |
Abstract Diabetes is a serious chronic disease which grows at epidemic proportions all over the world with many serious complications, such as kidney failure or blindness, however, diabetic foot take the greatest toll, being responsible for 60% of all lower extremity amputations. The etiology of diabetic foot ulcers is evidenced to be multifactorial. Diabetic neuropathy, peripheral vascular disease and trauma are the main etiological factors which predispose to foot ulceration. High plantar foot pressure is widely recognized as an important risk factor in the development of plantar ulcers on the diabetic neuropathic feet. Iindividuals with diabetes and elevated foot pressures are two times more likely to develop foot ulcer than subjects with lower foot pressures. The majority of foot ulcers results from mechanical stress and fails to heal in a typical practice due to ignoring the simple biomechanical facts. Biomechanical considerations are important not only in treatment of diabetic foot ulcer but in primary and secondary prevention as well. Foot pressure reduction will lead to a reduced incidence of foot ulceration in neuropathic patients with diabetes and will play a key role in the treatment of plantar ulcers and thus, the prevention of amputations. |