title: Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe.
abstract: Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations who were prescribed an IPOS (Niagara Falls, NY) postoperative shoe. A total of .33 patients were in the chart review. Twenty-three of these patients were located and agreed to participate in a telephone survey. Patients showed a compliance of 78%. Seventy-seven percent of the patients healed their ulcers and wore prescription inserts and extra-depth shoes at a mean of 8 weeks. Seventy-eight percent of our telephone survey patients were either satisfied or satisfied with reservations. Problems or complications from wearing the IPOS postoperative shoe occurred with 38% of all patients.
authors.forename: R L
authors.initials: RL
authors.lastname: Needleman
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D016523:Foot Ulcer / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009989:Orthotic Devices; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012775:Shoes; D014945:Wound Healing