Relationship between peripheral vascular disease and high plantar pressures in diabetic neuro-ischaemic patients

Pataky, Zoltan; Golay, Alain; Bounameaux, H; Bobbioni-Harsch, E; Assal, JPh

doi:10.1016/s1262-3636(07)70062-9

Cited by 24 publications

(20 citation statements)

References 19 publications

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“…Chronic, repeated pressure and recurrent trauma from biomechanical changes can lead to hyperkeratosis. Callus tissue is tough and increasing pressure leading to increasing the incidence of plantar ulcerations [30,31]. The same finding was reported by El-Nahas et al [32] in their large-scale study that included 1200 Egyptian diabetic patients.…”

Section: Serum Concentration Of Crp Represents a Verysupporting

confidence: 64%

Assessment Of C-Reactive Protein And Macrophage Migration Inhibitory Factor In Diabetic Foot Infection

Ahmed

Ibrahim

Bakr

et al. 2011

Afro-Egyptian Journal of Infectious and Endemic Diseases

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Section: Serum Concentration Of Crp Represents a Verysupporting

confidence: 64%

Assessment Of C-Reactive Protein And Macrophage Migration Inhibitory Factor In Diabetic Foot Infection

Ahmed

Ibrahim

Bakr

et al. 2011

Afro-Egyptian Journal of Infectious and Endemic Diseases

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“…Pataky et al [24] showed that removal of callus reduces maximum plantar pressure by around 58% (p < 0.001) and duration of pressure by about 150 ms per step (p < 0.05).…”

Section: The Special Role Of Callusmentioning

confidence: 99%

“…45 % of all patients who have had diabetes mellitus for 20 years also have peripheral vascular disease. Pataky et al [10] demonstrated that PAOD even contributes to higher plantar pressure and prolonged "foot-floor contact" on walking. On the whole, prognosis is considerably poorer for patients with macroangiopathy and critical ischemia.…”

Section: Pathogenesis Of Diabetic Foot Syndromementioning

confidence: 99%

See 1 more Smart Citation

Xerosis and callus formation as a key to the diabetic foot syndrome: Dermatologic view of the problem and its management

Pavicic

Körting

2006

J Deutsche Derma Gesell

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The diabetic foot syndrome is a major complication of diabetes mellitus. The two most important pathophysiologic factors are peripheral arterial occlusion and peripheral neuropathy. The cutaneous lesion is a plantar ulcer, often accompanied by soft tissue and bone infections which can require amputation. Triggers include poorly fitting shoes, poor foot care, or overlooked foreign bodies, often coupled with a structural foot deformity. Increased plantar pressure, especially beneath the metatarsal heads, and the resultant callus play an important role. The patients often already have xerosis of the plantar skin with scales, fissures, erosions and impaired barrier function, complicating the situation. Prompt neurologic and vascular diagnostic studies, coupled with routine examination of the feet and primary prophylactic measures are most important. The most important therapeutic goals are optimal control of the diabetes mellitus, relieving pressure points and avoiding or reducing callus formation.

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“…Increase of plantar pressure plays a crucial role in the development of plantar ulcers in neuropathic diabetic patients [1][2][3][4][5]. The majority of previous studies evaluated mostly the role of established peripheral neuropathy [2,[6][7][8][9] or PVD [10,11] as a major cause of plantar pressure abnormalities. However, Brand observed that typical neuropathic ulcers may occur in subjects with subclinical neuropathy on clinical examination [12].…”

Section: Introductionmentioning

confidence: 99%

Plantar pressure distribution in Type 2 diabetic patients without peripheral neuropathy and peripheral vascular disease

Pataky¹,

Assal²,

Conne³

et al. 2005

Diabetic Medicine

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show abstract

Relationship between peripheral vascular disease and high plantar pressures in diabetic neuro-ischaemic patients

Cited by 24 publications

References 19 publications

Assessment Of C-Reactive Protein And Macrophage Migration Inhibitory Factor In Diabetic Foot Infection

Assessment Of C-Reactive Protein And Macrophage Migration Inhibitory Factor In Diabetic Foot Infection

Xerosis and callus formation as a key to the diabetic foot syndrome: Dermatologic view of the problem and its management

Plantar pressure distribution in Type 2 diabetic patients without peripheral neuropathy and peripheral vascular disease

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