Importance de la décharge dans le traitement des lésions du pied diabétique

Article Article scientifique Article Importance de la décharge dans le traitement des lésions du pied diabétique fre 2011 author Malacarne Sarah 89363 author Paoliello Catherine 77499 author Philippe Jacques 26481 1267-1268,1270-2 21751724 1660-9379 http://rms.medhyg.ch/numero-298-page-1267.htm Foot ulcers are a frequent complication and develop in 15% of patient with diabetes. Ulceration is caused by several factor including neuropathy, arterial insufficiency and infection. Neuropathy results in a loss of the protective sensation and foot deformation. Off loading is an important part of the treatment permitting to reduce pressure and improve healing. Total casting is the gold standard and healing is observed in 90%, but there are several contraindications and limitations. Alternatives include removal devices that must be evaluated to improve off-loading and patient observance. Prevention with specific follow-up and shoes adaptation is recommended to prevent recurrent ulcer. Diabetic Foot/therapy Humans Orthotic Devices Weight-Bearing Dewey 616 56 Département de médecine 221 false 23 Diabète et régulation des gènes 36 Revue médicale suisse 7 298 8f434f72-d580-427f-9157-66052a032802 Article (Published version) Restricted 2011_Malacarne_Importance_RMS.pdf 652174 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de médecine

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Importance de la décharge dans le traitement des lésions du pied diabétique	Revue médicale suisse			2011	499	1

Archive ouverte UNIGE

Paoliello, Catherine