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92 Capitolo 2 • Abadi S, et al. Venous ulceration and the measurement of movement: a review.School of Mechanical Engineering, University of Leeds, UK. J Wound Care. 2007 Oct;16(9):396-402. • Abdelsalam H, et al. Revascularization strategies in below the knee interventions. J Cardiovasc Surg (Torino). 2008 Apr;49(2):187-91. • Armstrong DG, et al. It’s not what you put on, but what you take off: techniques for debriding and offloading the diabetic foot wound. Clin Infect Dis. 2004 Aug 1;39 Suppl 2:S92-9 • Araki CT, et al. The significance of calf muscle pump function in venous ulceration. J Vasc Surg. 1994 Dec;20(6):872-7; discussion 878-9 • Back TL, et al. Limited range of motion is a significant factor in venous ulceration. J Vasc Surg. 1995 Nov;22(5):519-23. • Bekler HI, et al. Preclinical symptoms of the diabetic foot. J Am Podiatr Med Assoc. 2009 Mar- Apr;99(2):114-20. • Biondi-Zoccai GG, et al. Infragenicular stent implantation for below-the-knee atherosclerotic disease: clinical evidence from an international collaborative meta-analysis on 640 patients. J Endovasc Ther. 2009 Jun;16(3):251-60. • Brem H, et al. Evidence-based protocol for diabetic foot ulcers, Plast Reconstr Surg. 2006 Jun;117(7 Suppl):193S-209S; discussion 210S-211S • Brem H, et al. Wound-healing protocols for diabetic foot and pressure ulcers, Surg Technol Int. 2003;11:85-92. • Brem H, et al. Healing of elderly patients with diabetic foot ulcers, venous stasis ulcers, and pressure ulcers, Surg Technol Int. 2003;11:161-7. • Bus SA, et al. A comparison of the 1-step, 2-step, and 3-step protocols for obtaining barefoot plantar pressure data in the diabetic neuropathic foot. Clin Biomech (Bristol, Avon). 2005 Nov;20(9):892-9 • Bus SA, et al. Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity. Clin Biomech (Bristol, Avon). 2004 Jul;19(6):629-38 • Caselli A, et al. The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration. Diabetes Care. 2002 Jun;25(6):1066-71. • Carlson JA, et al. Cutaneous vasculitis: diagnosis and management. Clin Dermatol. 2006 Sep- Oct;24(5):414-29. • Cavanagh PR, et al. Off-loading the diabetic foot for ulcer prevention and healing. J Vasc Surg. 2010 Sep;52(3 Suppl):37S-43S. • Chen HF, et al. Age and sex may significantly interact with diabetes on the Risks of lower-extremity amputation and peripheral revascularization procedures: evidence from a cohort of a halfmillion diabetic patients. Diabetes Care. 2006 Nov;29(11):2409-14 • D’Ambrogi E, et al. Contribution of plantar fascia to the increased forefoot pressures in diabetic patients. Diabetes Care. 2003 May;26(5):1525-9. • Davies JA, et al. A home-based exercise programme improves ankle range of motion in long-term venous ulcer patients. Phlebology. 2007;22(2):86-9. • Dorresteijn JA, et al. Complex interventions for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2010 Jan 20;(1) • Dorresteijn JA, et al. Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2010 May 12;5:CD001488. • Dos Santos VP, et al. Risk factors for <strong>prima</strong>ry major amputation in diabetic patients, Sao Paulo Med J. 2006 Mar 2;124(2):66-70 • EPUAP European Pressure Ulcer Advisory Panel, Linee guida di trattamento delle lesioni da pressione 2010, www.epuap.org • Erdemir A, et al. Local plantar pressure relief in therapeutic footwear: design guidelines from finite element models. J Biomech. 2005 Sep;38(9):1798- 806 • Frykberg RG, et al. Diabetic foot disorders: a clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006 Sep-Oct;45(5 Suppl):S1-S66 • Giacomozzi C, et al. Does the thickening of Achilles tendon and plantar fascia contribute to the alteration of diabetic foot loading? 2005 Jun;20(5):532-9 • Giocoli G. et al.: Infezioni batteriche e micotiche della cute. Documenta. Edizioni Scientifiche Mascia Brunelli, Biolife 6-32,1995. • Guldemond NA, et al. The effects of insole configurations on forefoot plantar pressure and walking convenience in diabetic patients with neuropathic feet. Clin Biomech (Bristol, Avon). 2007 Jan;22(1):81-7. Epub 2006 Oct 13 • Guyton GP, An analysis of iatrogenic complications from the total contact cast, Foot Ankle Int. 2005 Nov;26(11):903-7
• Hartsell HD, et al. Pneumatic bracing and total contact casting have equivocal effects on plantar pressure relief. Foot Ankle Int. 2001 Jun;22(6):502-6 • Herschthal J, et al. Current management of venous ulcers: an evidence-based review. Surg Technol Int. 2008;17:77-83. • Hsu CC, et al. Altered energy dissipation ratio of the plantar soft tissues under the metatarsal heads in patients with type 2 diabetes mellitus: a pilot study, Clin Biomech (Bristol, Avon). 2007 Jan;22(1):67-73. Epub 2006 Oct 2 • Humphreys ML, et al. Management of mixed arterial and venous leg ulcers. Br J Surg. 2007 Sep;94(9):1104-7. • Jurado J, et al. Isolated use of vibration perception thresholds and Semmes-weinstein monofilament in diagnosing diabetic polyneuropathy: the North Catalonia diabetes study, Nurs Clin North Am. 2007 Mar;42(1):59- 66 • Kamei N, et al. Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening. ,J Diabetes Complications. 2005 Jan-Feb;19(1):47-53 • Lavery LA, et al. Agrawal CM, Wear and biomechanical characteristics of a novel shear-reducing insole with implications for high-risk persons with diabetes. Diabetes Technol Ther. 2005 Aug;7(4):638-46 • Lebwohl M, et al. Impaired skin barrier function in dermatologic disease and repair with moisturization. Cutis. 2005 Dec;76(6 Suppl):7-12. • Leymarie F, et al. Factors associated with diabetic patients at high risk for foot ulceration. Diabetes Metab. 2005 Dec;31(6):603 • Lott DJ, et al. Effect of footwear and orthotic devices on stress reduction and soft tissue strain of the neuropathic foot. Clin Biomech (Bristol, Avon). 2007 Mar;22(3):352-9. Epub 2006 Dec • Matwa P, et al; Working Group of the National Diabetes Advisory Board; European IDDM Policy Group, Experiences and guidelines for footcare practices of patients with diabetes mellitus, Curationis. 2003 May;26(1):11-21 • Minar E. Critical limb ischaemia. Hamostaseologie. 2009 Jan;29(1):102-9. • Myers KA, et al. Biomechanical implications of the negative heel rocker sole shoe: gait kinematics and kinetics. Gait Posture. 2006 Nov;24(3):323-30. Epub 2005 Nov 21 • Nelson EA, et al. Prevention of recurrence of venous ulceration: randomized controlled trial of class 2 and class 3 elastic compression. J Vasc Surg. 2006 Oct;44(4):803-8 • Nube VL, et al. Biomechanical risk factors associated with neuropathic ulceration of the hallux in people with diabetes mellitus, J Am Podiatr Med Assoc. 2006 May- Jun;96(3):189-97 • Oie S, Kamiya A: Microbial contamination of antiseptics and disinfectants. Am J Infect Control 24(5):389-95, Oct 1996. • O’Meara S, et al. Compression for venous leg ulcers. Cochrane Database Syst Rev. 2009 Jan 21;(1) • Orsted HL, et al. Best practice recommendations for the prevention, diagnosis, and treatment of diabetic foot ulcers: update 2006. Adv Skin Wound Care. 2007 Dec;20(12):655-69; quiz 670-1. • Padberg FT Jr, et al. Structured exercise improves calf muscle pump function in chronic venous insufficiency: a randomized trial. J Vasc Surg. 2004 Jan;39(1):79-87. • Pavicic T, et al. Xerosis and callus formation as a key to the diabetic foot syndrome: dermatologic view of the problem and its management. J Dtsch Dermatol Ges. 2006 Nov;4(11):935-41. • PASQUALINI Z, et al, Linee Guida per la prevenzione e la terapia delle lesioni da decubito, GIORN GERONT 2001; 49: 871-877 • Petre M, et al. Revisiting the total contact cast: maximizing off-loading by wound isolation. Diabetes Care. 2005 Apr;28(4):929-30 • Pham HT, et al. A prospective, randomized, controlled double-blind study of a moisturizer for xerosis of the feet in patients with diabetes. Ostomy Wound Manage. 2002 May;48(5):30-6. • Pizarro-Duhart G, Treatment of diabetic foot ulcers with total contact casts: a critical review of the current literature. J Wound Care. 2005 Nov;14(10):465-7, 469- 70. • Plank J, et al. Evaluation of the impact of chiropodist care in the secondary prevention of foot ulcerations in diabetic subjects, Diabetes Care. 2003 Jun;26(6):1691-5 • PNLG Programma nazionale per le linee guida, AA.VV. Ulcere da pressione: prevenzione e trattamento Linee guida ottobre 2005 • Registered Nurses’ Association of Ontario (2005). Valutazione e Gestione delle Ulcere del Piede nelle Persone affette a Diabete. Toronto, Canada: Traduzione in Italiano Centro Studi EBN • Robson MC, et al. Guidelines for the treatment of venous ulcers. Wound Repair Regen. 2006 Nov- Dec;14(6):649-62 • Roveda S et al.: Controlled randomizedtrial on the preoperative disinfection of skin with a chloroxidating solution. Acta Toxicol Ther XIV(2): 93-101, 1993. 93
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Poste Italiane - Spedizione in a.p.
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Edizione PodosLogo Italia Srl, Napo
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5. La medicazione 75 5.1. Percorso
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Cari Colleghi e Colleghe, Prefazion
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podologi partecipanti Andolfo A. (N
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1. Introduzione e proposta di proto
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la valutazione medica o anche in su
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te o capace di usare ortoplastie in
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2. L’ulcera cutanea in podologia
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zeppe di fibre di cheratina, il che
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2.4. L’ulcera d’origine arterio
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Nella foto a lato vediamo una lesio
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Caso Clinico 1 Uomo cinquantenne, d
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daria a malattia varicosa o a tromb
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che, quando “continenti”, si op
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Il caso presentato a p. 17 è una l
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tà inferiori legate al diabete è
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da garantire il corretto trofismo c
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2.7.1. Diagnosi podologica del risc
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40 piede è predittiva dell’insor
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42 Ancora da studiare sono i risult
Page 46 and 47: 44 Ancora ricordiamo che il riposo
Page 48 and 49: 46 controlaterale. In fase acuta il
Page 50 and 51: nella stazione eretta, un rischio m
Page 52 and 53: Innovativo sistema coadiuvante nell
Page 54 and 55: 52 Alle ulcere a dita di mani e pie
Page 56 and 57: 54 I gambaletti di scarico gessati
Page 58 and 59: Idratazione specifica per i disequi
Page 60 and 61: 58 48 Sotto l’aspetto medico migl
Page 62 and 63: 60 3.2. La detersione della lesione
Page 64 and 65: 62 3.3. Principi di Wound Bed Prepa
Page 66 and 67: 64 L’ultima fase è quella della
Page 68 and 69: 66 tattico per monociti, macrofagi,
Page 70 and 71: 68 l’esecuzione di RX bilaterale)
Page 72 and 73: 70 Ricordiamo che la contaminazione
Page 74 and 75: 72 Nelle ulcere infette non esiste
Page 76 and 77: 74 il distacco dei tessuti necrotic
Page 78 and 79: 76 usare bende, cerotti, gancetti o
Page 80 and 81: 78 Caso Clinico 21 Uomo ultrasessan
Page 82 and 83: 80 Sono medicazioni conformabili, c
Page 84 and 85: 82 5.5.3. Idrocolloidi Gli idrocoll
Page 86 and 87: 84 Caso Clinico 23 Paziente diabeti
Page 88 and 89: 86 Per dare alcuni numeri si deve r
Page 90 and 91: 88 clinico, elaborate mediante un p
Page 92 and 93: 90 Inoltre dai DRG emergeva che le
Page 95: Bibliografia Capitolo 1 • Armstro
Page 99 and 100: • EWMA. Position Document: Wound
Page 101: Glossario Agenti topici: rappresent
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