Perioperative Offloading for Diabetic Foot Ulcers: A Systematic Review and Evidence Synthesis.
J Vis ExpSep 30, 2026 (epub)
Huafen Wang, Lili Jin, Qingqing Zhang et al.
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In 30 seconds
This systematic review evaluated perioperative offloading strategies for diabetic foot ulcer (DFU) management, synthesizing evidence from 15 publications, including guidelines and expert consensus. The review highlighted that evidence levels varied, with most at Level 5, indicating a need for standardized clinical implementation to improve wound healing and reduce ulcer recurrence in DFU patients.
Key findings
- Fifteen publications were included, comprising 8 guidelines, 2 expert consensus statements, and 5 systematic reviews.
- Evidence levels ranged from 1 to 5, with the majority classified as Level 5.
- Thirty-one evidence items were summarized across seven domains related to DFU management.
Why it matters
Understanding the best practices for perioperative offloading in DFU patients is crucial for clinicians to enhance wound healing and prevent recurrence, ultimately improving patient outcomes and quality of life.