Managing the Diabetic Foot by Michael E. Edmonds & Alethea V.M. Foster

Author:Michael E. Edmonds & Alethea V.M. Foster
Language: eng
Format: epub
Publisher: Wiley
Published: 2013-11-20T05:00:00+00:00

Heel ulcers can be off-loaded by a foam wedge, a PRAFO or heel protector. The latter has a built-in pillow-style cushioning which provides a soft support surface. It is easy to apply and stays on the patient's foot. It reduces foot rotation inside the boot (Fig. 3.1).

The PRAFO (Fig. 4.29) is a ready-made orthotic device that has a washable fleece liner with an aluminium and polypropylene adjustable frame and a non-slip walking neoprene base. It is used to relieve pressure over the posterior aspect of the heel and maintain the ankle joint in a suitable position. It is important to make sure that it does not rub and ulcerate very fragile skin, which is seen in some diabetic patients with ischaemia.

Fig. 4.29 The pressure relief ankle foot orthosis (PRAFO) relieves pressure on the back of the heel.

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