Liquid Silicone to Mitigate Plantar Pedal Pressure: A Literature Review

Author:

Bowling Frank L.1,Metcalfe Stuart A.2,Wu Stephanie3,Boulton Andrew J. M.1,Armstrong David G.4

Affiliation:

1. Central Manchester Foundation Trust, Manchester Diabetes Centre, University of Manchester, Manchester, United Kingdom

2. Department of Podiatric Surgery, Chelmsley Wood Primary Care Trust, Birmingham, United Kingdom

3. College of Podiatric of Medicine, Center for Lower Extremity Ambulatory Research, Rosalind Franklin University, Chicago, Illinois

4. Southern Arizona Limb Salvage Alliance, University of Arizona College of Medicine, Tucson, Arizona

Abstract

Disruption of the body's plantar fat pad can occur as a result of one of three mechanisms: simple fat pad atrophy associated with age-related degeneration, steroid use, or collagen vascular disease. Actual or relative displacement in to the underlying osseous prominences may be seen in association with structural deformity of the foot. Disease states such as diabetes may alter the normal structural integrity of soft tissues through nonenzymatic glycation leading to increased stiffness and thus reduced attenuating capacity. Fat pad atrophy, regardless of the cause, is often associated with substantial emotional, physical, productivity, and fnancial losses. In situations where the patient is sensate, the resultant skin on bone situation is extremely painful, especially when walking.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Bioengineering,Endocrinology, Diabetes and Metabolism,Internal Medicine

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