Offloading diabetic foot ulcers: Recommendations from the IWGDF - G Jarl
| Offloading is the
most important among multiple interventions to heal plantar diabetic foot
ulcers (DFUs). This talk will go through the evidence-based guidelines for
offloading by the International Working Group on the Diabetic Foot (IWGDF).
In short, the guideline state that for neuropathic plantar forefoot DFUs,
non-removable knee-high devices are the first-choice offloading treatment,
removable knee-high devices are the second-choice, ankle-high devices are the
third-choice and footwear combined with felted foam the fourth-choice
treatment. Surgical interventions can be considered when conservative
offloading fails. |
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