ORTHOMEDICES FOR Diabetic patient
Diabetic foot care Preservation To Avoid Amputation
Diabetic shoe cover any change in size , soft, light weight.diabetic patient who has peripheral neuropathy, forefoot deformities, ulcer should have:
- Extra depth
- Blucher closure
- Wide high toe box
- Soft leather upper
- Removable insoles
- Cushioned crepe soles.
Reduce Weight bearing on heel, metatarsal so avoid ulcer formation by usefull length silicon insole.
Neuropathy and/or poor circulation could be prevented with careful foot care.
Atrophy of fat prevent it by use.
Ankle Gel support
Laxity in Ligment instability of Ankle.Medial, lateral support.Soft gel inside.Sprain , Strain. Offloading insole
If occur ulcer use offloading insoleIf ulcer formation offloading. distribute weight bearing healing to ulcer.
Offloading v soft avoid formation new ulcer.With offloading easy to dressing ulcer. Basic Principles of Ulcer CareReduce pressure at the ulcer site.Optimizing blood flow to the foot.Frequent debridement of the ulcer.Prevention and treatment of infection. Controlling of blood sugar. The Total Contact Cast (TCC).TCC transfers weight away from the foot and redistributes weight-bearing forces proximally to the leg The Total Contact Cast DisadvantagesProlonged immobilization of the ankle. joint lead to stiffness and muscle atrophy.Increased areas of pressure lead to formation of new ulceration.There is no universally accepted technique or single method for applying a total contact cast. Charcoot join (Air walker.) Protection from trauma. Limb immobilization. Reduction of edema. Reduction of pressure over the ulcers.
Removable Walkers pressure reduction that is simple and practical for both patient and physician. Allow easy access to an ulcer for evaluation, debridement, or topical therapy. Used in cases of mildly infected ulcers. Reused. DH Pressure Relive Walker
Air walker with a diabetic health pressure insole Combines protection, stabilization and plantar pressure reduction. Removable hexagonals disperse plantar weight-bearing pressure. ORTOMEDICES WITH DIABETIC PATIENT STEP BY STEP1ST Diabetic shoeSilicon insole to distribute pressureAnkle gel support if ankle instabilityAir walker if charcot jointSilicon insole to avoid ulcerOffloading insole in case of ulcerDH walker if ulcer+ Ankle instabilityGood quality prosthesis in case of amputation
