Reaching closure with skin stretching: Applications in the diabetic foot

D. G. Armstrong, R. P. Wunderlich, L. A. Lavery

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

At the present time, there are no evidence-based protocols outlining the use of the Sure-Closure Skin Stretching System on diabetic, neuropathic wounds. Ideally, surgical correction of the precipitating deformity and appropriate shoe gear accommodation should be performed concomitantly with skin stretching (as indicated) to achieve an optimal long-term result. For several years, we have used the Sure-Closure device as an adjunctive treatment for diabetic-foot wound closure, and believe that, ultimately, this device more likely will be used in a clinical setting. In this manner, a patient with an open wound may, under aseptic conditions, be sequestered for a period of 1 to 2 hours during a clinical visit to allow for skin stretching. This procedure may be carried out two or three times weekly until closure is achieved. Mechanically assisted delayed primary closure is a relatively new category of wound closure; however, this device is by no means a panacea. Appropriate patient selection and intraoperative judgment are of critical preoperative and perioperative importance when employing this technique. Currently, we are completing a clinical trial comparing mechanically assisted delayed primary-wound closure to traditional treatment and off-loading in a population of high-risk diabetic patients. We believe that this project will better elucidate the relative indications and contraindications with what may be a very effective tool for the diabetic foot specialist.

Original languageEnglish (US)
Pages (from-to)109-116
Number of pages8
JournalClinics in Podiatric Medicine and Surgery
Volume15
Issue number1
StatePublished - 1998

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Diabetic Foot
Skin
Wounds and Injuries
Equipment and Supplies
Shoes
Patient Selection
Clinical Trials
Therapeutics
Population

ASJC Scopus subject areas

  • Surgery

Cite this

Reaching closure with skin stretching : Applications in the diabetic foot. / Armstrong, D. G.; Wunderlich, R. P.; Lavery, L. A.

In: Clinics in Podiatric Medicine and Surgery, Vol. 15, No. 1, 1998, p. 109-116.

Research output: Contribution to journalArticle

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