Reduction of digital plantar pressure by debridement, silicone orthosis and tenotomy of the flexor digitorum longus muscle
28th World Congress on Diabetes, Obesity & Heart
August 20-21, 2018 Tokyo, Japan

Christophe Jacobs

Belgian Association of Podiatrists, Belgium

Posters & Accepted Abstracts: Cardiovasc Pharm

Abstract:

The lesser toes are often sites of high plantar pressure and ulceration in the diabetic foot.The vascular surgeon and the podiatrist tried to determine if callus debridement, the wearing of a silicone orthosis combined with the tenotomy of the flexor digitorum longus could reduce the digital plantar pressure.Twenty patients with callus and/or ulceration were studied. The digital orthosis and the treatment by debridement similarly reduced pressure, but the most effective reduction of pressure for all patients, as well as the most statistically significant, occurred when both treatments were given in association with the tenotomy of the flexor digitorum longus muscle. Since high plantar pressure increases the risk of neuropathic ulceration, these treatments should be considered in the prophylactic care of appropriate patients

Biography :

Christophe Jacobs works as Podiatrist at two hospitals in multidisciplinary teams around the diabetic foot.and is a member of Belgian Association of Podiatrists, Belgium

E-mail: cliniquedupied1420@yahoo.com