Manufactured shoes in the prevention of diabetic foot ulcers.
OBJECTIVE
To evaluate the efficacy of manufactured shoes specially designed for diabetic patients (Podiabetes by Buratto Italy) to prevent relapses of foot ulcerations.


METHODS
A prospective multicenter randomized follow-up study of patients with previous foot ulcerations was conducted. Patients were alternatively assigned to wear either their own shoes (control group, C; n = 36) or therapeutic shoes (Podiabetes group, P; n = 33). The number of ulcer relapses was recorded during 1-year follow-up.


RESULTS
Both C and P groups had similar risk factors for foot ulceration (i.e., previous foot ulceration, mean vibratory perception threshold > 25 mV). After 1 year, the foot ulcer relapses were significantly lower in P than in C (27.7 vs. 58.3%; P = 0.009; odds ratio 0.26 [0.2-1.54]). In a multiple regression analysis, the use of therapeutic shoes was negatively associated with foot ulcer relapses (coefficient of variation = -0.315; 95% confidence interval = -0.54 to -0.08; P = 0.009).


CONCLUSIONS
The use of specially designed shoes is effective in preventing relapses in diabetic patients with previous ulceration.
Uccioli
L
L
Cattedra di Endocrinologia, Università Tor Vergata, Rome, Italy.
Faglia
E
E
Monticone
G
G
Favales
F
F
Durola
L
L
Aldeghi
A
A
Quarantiello
A
A
Calia
P
P
Menzinger
G
G
D016001:Confidence Intervals; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology; D017719:Diabetic Foot / Q000503:physiopathology* / Q000517:prevention & control*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012044:Regression Analysis; D012775:Shoes; D014732:Vibration