For appointment phone (02) 9972 4488
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For appointment phone (02) 9972 4488
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Case Study 3
51 year old male long term diabetic developed a charcot foot insulin depended neuropathy with loss of sensation in both feet Ulcer was present for 12 month The ulcer closed after using a total contact cast for 4 month follow up with medical grade footwear (MGF) ulcer closed after 4 years wearing MGF Plantar pressure distribution map
Several dynamic plantar pressure reading were performed. More details about the technology look under plantar pressure reading on this home page. The left picture shows the plantar pressure values in a neutral shoe. The neutral shoe is simulating a “normal-standard” footwear with out an specific feature and is our base reference recording. Plantar pressure in the neutral shoe is very high as you can see on the red color. The middle picture shows the plantar pressure values as measured in the total contact cast that facilitated healing of the ulcer. The right picture shows the plantar pressure measurement in the custom made medical grade footwear. You can see clearly that the medical grade footwear provided by ShoeTech provided peak plantar pressure reduction better than the total contact cast and protected the foot successfully from further ulcers for many years. An abstract about this case is available on the section publications on this web page.
This chart shows the evaluation of the plantar forces for the Charcot foot over several steps. It compared the total forces in the neutral shoe, the total contact cast and the medical grade footwear provided by ShoeTech. It compared 3 sections of the foot. On the very left the entire force acting on the foot is displayed. That shows an increase of overall plantar forces with the total contact cast and the medical grade footwear by ShoeTech. This is a positive sign as it indicates that the person is now walking with more confidence by putting more overall load on this foot. The graph in middle shows the plantar forces for the areas where the ulcer was. Here it is very clear that the forces have been reduced a lot by the ShoeTech shoes. The right graph includes the area around the ulcer and again the ShoeTech shoe showed the best result. |
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