Altered Biomechanics in Diabetic Foot: Basics and Advances
Keywords:
Diabetic foot, off-loading, altered biomechanics, assessment of ABM, surgical correction, splinting, footwear
Abstract
The diabetic foot is one of the most feared complications of diabetes. The diabetic foot also requires offloading of the foot after medical or surgical management. To understand the offloading of the foot, one has to understand the biomechanics of the foot. Especially the altered biomechanics which occurs in the diabetic foot. If the biomechanics is understood properly, it helps in the wound healing of diabetic foot ulcer. Also, it helps in the prevention of recurrence of the ulcer. An attempt is made in this article to focus on the assessment and various approaches to taking care of altered biomechanics for comprehensive management of diabetic foot.
References
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2. Ghosh P, Valia R.Diabetic Foot Ulcers in India: Evidence Landscape from Published Literature. Value Health 2017; 20: 9 A485.
3. Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Jones KJ, Thompson MM, Holt PJ. Lower extremity amputations- -a review of global variability in incidence. Diabet Med. 2011 Oct;28(10):1144-53.
4. Katsilambros N, Dounis E,Makrilakis K, Tentolouris N, Tsapogas P. Atlas of the Diabetic Foot. 2nd Ed. Wiley-Blackwell; 2010.
5. Prompers L, Huijberts M, Schaper N, Apelqvist J, Bakker K, Edmonds M, Holstein P, Jude E, Jirkovska A, Mauricio D, Piaggesi A, Reike H, Spraul M, Van Acker K, Van Baal S, Van Merode F, Uccioli L, Urbancic V, RagnarsonTennvall G. Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale Study. Diabetologia. 2008 Oct;51(10):1826-34.
6. Kim PJ. Biomechanics of the Diabetic Foot: Consideration in Limb Salvage. Adv Wound Care (New Rochelle). 2013 Apr;2 (3):107-111.
7. Allet L, Armand S, Golay A, Monnin D, de Bie RA, de Bruin ED. Gait characteristics of diabetic patients: a systematic review. Diabetes Metab Res Rev. 2008 Mar-Apr;24(3):173-91.
8. van Schie CH. A review of the biomechanics of the diabetic foot. Int J Low Extrem Wounds. 2005 Sep;4(3):160-70.
9. Armstrong DG. INCREASE OF STIFFNESS IN PLANTAR FAT TISSUE IN DIABETIC PATIENTS. DF Blog WORDPRESS. COM [Internet]. 2020 May 27 [cited 2021 Jan 11]. Available from https://diabeticfootonline.com/2020/05/27/increase-ofstiffness- in-plantar-fat-tissue-in-diabetic-patients/
10. Animesh H, Maiya AG. Clinical Biomechanics and its Implications on Diabetic Foot. 1st Ed. Springer; 2020 DOI https://doi.org/10.1007/978-981-15-3681-6.
11. Frykberg RG, Wukich DK, Kavarthapu V, Zgonis T, Dalla Paola L; Board of the Association of Diabetic Foot Surgeons. Surgery for the diabetic foot: A key component of care. Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3251.
Published
2021-04-24
How to Cite
Dr. Milind G. Ruke, Dr. Pradip Gore. (2021). Altered Biomechanics in Diabetic Foot: Basics and Advances. The Indian Practitioner, 74(4), 36-39. Retrieved from http://articles.theindianpractitioner.com/index.php/tip/article/view/1153
Section
Clinical Practice
