Vol 8, No 5 (2007): Practical Diabetology
Case report
Published online: 2007-05-24

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Disturbances in the diabetic foot statics exposed with geodetic method

Iwona Krysiak-Zielonka, Ewa Blum-Krzywicka
Diabetologia Praktyczna 2007;8(5):196-199.

Abstract

Despite progress in diabetology and a wide spectrum of care that diabetic patients receive, there is lack of appropriate diagnostic methods and prophylactic measures for preventing the development of complications like diabetic foot. The researchers present examples of diagnostic assessment of foot support areas when loaded with the body mass. CQ Electronic device for Computer Examination of Feet was used in the examination. The computer picture of the plantar surface of the foot was analysed using geodetic method of map modelling. The final result was a map of areas on the sole that could develop necrotic changes as the earliest. In the examined case, the indicated areas were: on the right foot - the area below the heads of the I and II bone of the metatarsus and the area of the lateral cuneiform bone, on the left foot - the area on the side from the head of the first bone of the metatarsus, the area of the navicular bone of the foot and the cuboid bone. The geodetic method allows to determine disturbances in the diabetic foot statics. The new method better illustrates sole pressure abnormalities than other methods of diagnosing prodromal changes. Further studies with a prospective evaluation are necessary to confirm the value of the method.

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