Does Offloading with Felt Foot Plates Heal Diabetic Foot Ulcers? 2023

Deborah Christensen, and Albert Botchway
Deborah Christensen, MSN, FNP, CWON, is Nurse Practitioner, Swedish Wound Healing Center and Swedish Vascular Service, Seattle, Washington. Albert Botchway, PhD, is Assistant Professor, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield Illinois.

OBJECTIVE To determine (1) if offloading with a felt foot plate heals a diabetic foot ulcer, (2) the rate of healing with the felt foot plate, and (3) the impact on rate of healing from the confounding factors of patient weight and growth factors on healing times. METHODS The researchers conducted a retrospective chart cohort review over 3 years. RESULTS Using a multivariable linear and logistic regression model, the data showed a statistically significant reduction in the diabetic foot ulcer area over time. Confounding factors of patient weight and growth factors did not impact healing times. CONCLUSIONS Offloading a diabetic foot ulcer with a felt foot plate is adequate for healing.

UI MeSH Term Description Entries
D003920 Diabetes Mellitus A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings
D017719 Diabetic Foot Common foot problems in persons with DIABETES MELLITUS, caused by any combination of factors such as DIABETIC NEUROPATHIES; PERIPHERAL VASCULAR DISEASES; and INFECTION. With the loss of sensation and poor circulation, injuries and infections often lead to severe foot ulceration, GANGRENE and AMPUTATION, SURGICAL. Foot Ulcer, Diabetic,Diabetic Feet,Feet, Diabetic,Foot, Diabetic

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