Biomechanics and plantar ulcers in diabetes

作者: J.S. Bevans

DOI: 10.1016/0958-2592(92)90067-Y

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摘要: Abstract Patients with diabetes are at risk of developing plantar ulceration. To study the frequency abnormal biomechanics and its possible influence on location distribution lesions, patients presenting active or recently healed forefoot ulcers were investigated. 28 feet assessed. Heel bisection angles measured foot in subtalar joint neutral calcaneal stance relaxed positions. The lesion was mapped. In all cases function demonstrated, expressed as positions and/or stance, quantified by compensatory pronation. for metatarsal there a strong correlation between heel ulcer sites. Inverted heels associated lateral everted medial (r=0.8696: P position, large (> +8.0°) ulcers, smaller ( Biomechanical assessment may help identification those ulceration fabrication functional orthoses pressure relieving insoles.

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