Offloading diabetic foot wounds using the scotchcast boot

a retrospective study.

E. Ann Knowles, David G Armstrong, Sajad A. Hayat, Kashif I. Khawaja, Rayaz A. Malik, Andrew J M Boulton

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

A retrospective study was conducted to evaluate treatment outcomes associated with the treatment of diabetic foot ulcers using the Scotchcast boot. Data were extracted from the records of 180 patients with diabetes, 150 (83.3%) male, with a mean age of 55.3 +/- 10.9 years undergoing treatment for noninfected, non-ischemic neuropathic diabetic foot wounds at a university teaching hospital's tertiary care outpatient clinic. All patients who met the criteria were treated with the Scotchcast boot as the sole form of pressure relief. The average follow-up for each patient was 85.9 +/- 30.6 months (range 34.2 to 147.7 months). The mean time to healing for all patients was 130.5 +/- 106.7 days. Superficial (Grade 1) wounds healed significantly faster than deep (Grade 3) wounds (111.5 +/- 98.2 versus 180.8 +/- 138.8 days, P = 0.01) and 144 (80%) wounds healed during the follow-up period. Of the 36 (20%) that did not heal with Scotchcast boot therapy, 10 went on to more proximal amputation (5.6% of total population), two required surgical intervention to heal their wounds (0.6% of total population), one patient died with an unhealed wound (0.6% of total population), 23 patients (12.8% of total population) were lost to follow-up, and 47 (26%) died. Experience and the results of this and other studies suggest that this removable modality may be useful in outpatient care of deeper or complex wounds that require frequent inspection, but a device that ensures compliance may be the preferred treatment of superficial wounds.

Original languageEnglish (US)
Pages (from-to)50-53
Number of pages4
JournalOstomy/wound management
Volume48
Issue number9
StatePublished - Sep 2002
Externally publishedYes

Fingerprint

Diabetic Foot
Retrospective Studies
Wounds and Injuries
Population
Scotchcast
Lost to Follow-Up
Tertiary Healthcare
Therapeutics
Ambulatory Care
Ambulatory Care Facilities
Amputation
Teaching Hospitals
Compliance
Pressure
Equipment and Supplies

ASJC Scopus subject areas

  • Gastroenterology
  • Internal Medicine
  • Nursing(all)

Cite this

Knowles, E. A., Armstrong, D. G., Hayat, S. A., Khawaja, K. I., Malik, R. A., & Boulton, A. J. M. (2002). Offloading diabetic foot wounds using the scotchcast boot: a retrospective study. Ostomy/wound management, 48(9), 50-53.

Offloading diabetic foot wounds using the scotchcast boot : a retrospective study. / Knowles, E. Ann; Armstrong, David G; Hayat, Sajad A.; Khawaja, Kashif I.; Malik, Rayaz A.; Boulton, Andrew J M.

In: Ostomy/wound management, Vol. 48, No. 9, 09.2002, p. 50-53.

Research output: Contribution to journalArticle

Knowles, EA, Armstrong, DG, Hayat, SA, Khawaja, KI, Malik, RA & Boulton, AJM 2002, 'Offloading diabetic foot wounds using the scotchcast boot: a retrospective study.', Ostomy/wound management, vol. 48, no. 9, pp. 50-53.
Knowles EA, Armstrong DG, Hayat SA, Khawaja KI, Malik RA, Boulton AJM. Offloading diabetic foot wounds using the scotchcast boot: a retrospective study. Ostomy/wound management. 2002 Sep;48(9):50-53.
Knowles, E. Ann ; Armstrong, David G ; Hayat, Sajad A. ; Khawaja, Kashif I. ; Malik, Rayaz A. ; Boulton, Andrew J M. / Offloading diabetic foot wounds using the scotchcast boot : a retrospective study. In: Ostomy/wound management. 2002 ; Vol. 48, No. 9. pp. 50-53.
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