Comparing the Effectiveness of Different Types of Orthoses in Preventing Diabetic Foot Ulcer Recurrence: A Systematic Review of Randomized Clinical Trials.
Behnam Amini, Hanieh Salehi-Pourmehr, Sevil Ghaffarzadehrad
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In 30 seconds
This systematic review evaluated the effectiveness of various orthoses in preventing diabetic foot ulcer (DFU) recurrence among patients with diabetes. Analyzing ten randomized controlled trials involving 1686 participants, the review found that custom orthoses significantly reduced recurrence rates, with one study reporting 9.9% recurrence compared to 25% in controls. The evidence was heterogeneous due to differences in orthosis types and follow-up durations.
Key findings
- Custom orthoses reduced DFU recurrence to 9.9% compared to 25% in standard care.
- The review included ten randomized controlled trials with a total of 1686 participants.
- Evidence showed variability in effectiveness due to different orthosis types and follow-up periods.
Why it matters
Understanding the effectiveness of orthoses in preventing DFU recurrence is crucial for managing diabetic patients at risk. This knowledge can guide clinicians in selecting appropriate preventive measures to improve patient outcomes.