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The Effect of Callus Removal on Dynamic Plantar Foot Pressures in Diabetic Patients
Abstract
Clinical observation suggests that neuropathic foot ulceration frequently occurs beneath plantar callosities and in areas of high dynamic shear and vertical stress underneath the foot during walking. Seventeen diabetic patients had dynamic foot pressure measurements made before and after the removal of a total of 43 forefoot plantar callosities. Peak pressures (mean ± SE) in the treated areas were reduced by 26% from 14.2 ± 1.0 to 10.3 ± 0.9 kg cm−2 (p < 0.001), with reductions at 37 of the 43 sites and in all patients. Mean heel pressures were not significantly different (5.0 ± 0.6 vs 4.9 ± 0.6 kg cm−2). These results suggest that callus may act as a foreign body elevating plantar pressures and that a significant reduction in pressure is achieved by local chiropody treatment.
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Cited by
The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study
Veves, A., Murray, H. J., Young, M. J., & Boulton, A. J. M. (1992) · Diabetologia · doi:10.1007/bf00400259 · Cited by 710
Self-citationThe role of pressure offloading on diabetic foot ulcer healing and prevention of recurrence.
Bus, S. A. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002686 · Cited by 118
The effects of range-of-motion therapy on the plantar pressures of patients with diabetes mellitus
Goldsmith, J. R., Lidtke, R. H., & Shott, S. (2002) · Journal of the American Podiatric Medical Association · doi:10.7547/87507315-92-9-483 · Cited by 103
van Netten, J. J., Raspovic, A., Lavery, L. A., Monteiro‐Soares, M., Paton, J., Rasmussen, A., Sacco, I. C. N., & Bus, S. A. (2024) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3652 · Cited by 89
“We therefore first grouped all studies on this topic based on both the intervention and the comparator conditions, resulting in seven different categories that were clearly distinct from each other.”
Background
Metadata
- Authors
- Young, M. J., Cavanagh, P. R., Thomas, G., Johnson, M. M., Murray, H., & Boulton, A. J. M.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 1992-01-02
- Volume
- 9
- Issue
- 1
- Pages
- 55-57
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2075691996
- Cited by
- 267
- References
- 0
- FWCI
- 6.06
- Type
- journal article
- Language
- en
- Open access
- closed
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- Young, M. J., Cavanagh, P. R., Thomas, G., Johnson, M. M., Murray, H., & Boulton, A. J. M. (1992). The Effect of Callus Removal on Dynamic Plantar Foot Pressures in Diabetic Patients. Diabetic Medicine. https://doi.org/10.1111/j.1464-5491.1992.tb01714.x
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
