Comparing the Effectiveness of Different Types of Orthoses in Preventing Diabetic Foot Ulcer Recurrence: A Systematic Review of Randomized Clinical Trials.

IF 2.3 3区医学 Q1 ORTHOPEDICS

Journal of Foot and Ankle Research Pub Date : 2026-09-01 DOI:10.1002/jfa2.70192

Behnam Amini, Hanieh Salehi-Pourmehr, Sevil Ghaffarzadehrad

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引用次数: 0

Abstract

Introduction: Therapeutic orthoses, such as medical shoes and custom insoles, are used to prevent diabetic foot ulcer (DFU) recurrence. This systematic review with narrative synthesis aimed to evaluate the effectiveness of orthoses in preventing DFU recurrence compared to standard care.

Methods: We followed PRISMA guidelines for a systematic review. Searches were conducted in PubMed, Cochrane, and Web of Science. RCTs on orthoses for preventing DFU recurrence were included. Risk of bias was assessed using Cochrane tools. Due to heterogeneity, narrative synthesis was used.

Results: An initial search of 4166 articles identified ten randomized controlled trials (RCTs) that met the inclusion criteria and were included in this review, focusing on patients living with diabetes at risk of DFU recurrence compared to usual care. Narrative synthesis of the 10 RCTs, involving 1686 participants, showed that custom orthoses reduced recurrence in several studies (e.g., Bus 2013 reported 9.9% recurrence vs. 25% in controls), though the evidence was heterogeneous due to variability in orthosis types and follow-up periods.

Conclusion: Orthoses can prevent diabetic foot ulcer recurrence, and we recommend their use where feasible. Further research is needed to optimize their clinical application.

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比较不同类型矫形器预防糖尿病足溃疡复发的有效性：一项随机临床试验的系统综述。

导读：治疗性矫形器，如医用鞋和定制鞋垫，用于预防糖尿病足溃疡（DFU）复发。本系统综述旨在评价与标准治疗相比矫形器在预防DFU复发方面的有效性。方法：我们遵循PRISMA指南进行系统评价。在PubMed， Cochrane和Web of Science中进行了搜索。纳入了关于矫形器预防DFU复发的随机对照试验。使用Cochrane工具评估偏倚风险。由于异质性，采用叙事综合。结果：对4166篇文章的初步检索确定了10项符合纳入标准的随机对照试验（rct），并纳入了本综述，重点关注与常规治疗相比有DFU复发风险的糖尿病患者。对涉及1686名参与者的10项随机对照试验的叙述性综合显示，定制矫形器在几项研究中降低了复发率（例如，Bus 2013报道了9.9%的复发率，而对照组为25%），尽管由于矫形器类型和随访时间的差异，证据是不一致的。结论：矫形器可以预防糖尿病足溃疡复发，建议在可行的情况下使用。需要进一步研究以优化其临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.