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ORIGINAL RESEARCH

Custom-Molded Offloading Footwear Effectively Prevents Recurrence and Amputation, and Lowers Mortality Rates in High-Risk Diabetic Foot Patients: A Multicenter, Prospective Observational Study

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Pages 103-109 | Published online: 10 Jan 2022

Figures & data

Table 1 Baseline Characteristics of All Patients Participating in This Study

Figure 1 A flow chart describing the study design.

Figure 1 A flow chart describing the study design.

Figure 2 Profiles of patients’ foot conditions and offloading therapy. Patient A: Recurrent neuropathic plantar foot ulcer on the left heel and the fifth right plantar metatarsophalangeal joint (A1). Personalized offloading insoles (A2). Wearing of the offloading footwear (A3). Patient B: Recurrent neuropathic plantar foot ulcer on the right foot and amputation of the first and third toes of the left foot (B1). Personalized offloading and orthopedic insoles (B2). Wearing the offloading footwear (B3).

Figure 2 Profiles of patients’ foot conditions and offloading therapy. Patient A: Recurrent neuropathic plantar foot ulcer on the left heel and the fifth right plantar metatarsophalangeal joint (A1). Personalized offloading insoles (A2). Wearing of the offloading footwear (A3). Patient B: Recurrent neuropathic plantar foot ulcer on the right foot and amputation of the first and third toes of the left foot (B1). Personalized offloading and orthopedic insoles (B2). Wearing the offloading footwear (B3).

Figure 3 Clinical outcomes of patients included in the study. *There were statistically significant difference in recurrence, amputation and mortality rates between patients in the continuous offloading therapy and those e in the interruption offloading therapy groups (P<0.01).

Figure 3 Clinical outcomes of patients included in the study. *There were statistically significant difference in recurrence, amputation and mortality rates between patients in the continuous offloading therapy and those e in the interruption offloading therapy groups (P<0.01).