Wound healing times are better determined by aetiologic factors than by wound size in standard care for diabetic foot ulcers.
In a prospective study of patients with type 1 or type 2 diabetes, Dr. Stefan Zimny and colleagues at the Ruhr-Universitat Bochum, in Bochum, Germany, assessed wound healing times of plantar foot ulcers.
Thirteen consecutive diabetic patients with neuropathic foot ulceration, 10 diabetic patients with neuroischaemic ulceration, and eight diabetic patients with peripheral occlusive vascular disease were selected for the study. All patients received identical ulcer wound care, including use of proper footwear, non-weight-bearing limb support, use of appropriate antibiotics, debridement, tight control of serum glucose levels, and careful monitoring of the ulcer, the investigators noted.
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