Klaveness Medical System Shoes
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Transcript of Klaveness Medical System Shoes
September 2009
Klaveness Medical ShoesForefoot & Heel Relief Shoes for Diabetic Foot Care
WorldwideLimb Loss
1 million per year due to diabetes1 amputation every 30 seconds
Jeffcoate & BakkerLancet, April 30, 2005
Prevalence of Diabetes Rising
Increase in Amputations
Ulceration
Significant Economic Costs
Prolonged Hospital Time - Extended Rehabilitation - Increased Home Care -
Increased Social Service Costs
✤ Inpatient Care (37% of Total Costs)
✤ Topical Treatment of Wounds (45% of Total Costs)
Costs of Healing Ulcers
Costs of Antimicrobial Drugs, Outpatient Visits and Orthotic Devices Very Small in Comparison
37%
45%
18%
Long Term Perspective
✤ Foot Ulcers tend to Recur
✤ 31% within 1 Year
✤ 61% within 3 Years
✤ 70% within 5 years
Costs of Foot UlcerationNon-Ischaemic Lesions $16,437
Ischaemic Lesions $27,203
Costs of Amputation
✤ Economic Costs
✤ Minor Lower Extremity (foot level) $43,800
✤ Major Lower Extremity (above ankle) $66,215
77% of the Costs Occur AFTER the Amputation
Costs of Foot UlcerationNon-Ischaemic Lesions $16,437
Ischaemic Lesions $27,203
“Focusing on prevention becomes cost-effective if we could reduce the incidence of foot ulcers and amputation by just
25%”
Boulton et al “The global burden of diabetic foot disease”Lancet, Nov 2006
Neuropathic Foot
"The whole problem is one of mechanics, not of medicine”
“ The biological responses to these denervated limbs are qualitatively similar
to those of normal limbs”
It is the permitted pattern of mechanical stress that is different"
Paul Brand
“Its not what you put on a diabetic foot ulcer - its what you take off”
Armstrong et al Clinical Infectious Diseases, Vol 39, 2004
Pressure and Tissue Shear are Critical FactorsShoes and Orthoses are the Means of Influence
Consequences of mechanical effects can be severe
Advised amputation
Three years to resolve
Management Strategy
✤ Depends on individual patient risk level
✤ Can use different tools and techniques
Purpose of Orthoses and Shoes
✤ Protection from further tissue breakdown
✤ Prophylaxis - taking measures to avoid future tissue breakdown
✤ Pressure Relief
✤ Ambulant Relief from Pressure, Friction and Shear at areas of Risk
✤ Recumbent
Ambulant Devices and Techniques
✤ PRAFO
✤ Heel-Relief Shoes
✤ Forefoot Relief Shoes
✤ AirCast
✤ Axial Offloading Orthoses
✤ Total Contact Cast
For Off-loading Of The Calcaneal/Heel Area
Heel-Relief ShoesKlaveness Medical Shoes
FEATURESKlaveness Medical Shoes
Neuro-ischaemic Heel Ulcer Five Months later
Features & Benefits
•Designed to offload the heel/calcaneal area
•Protected mobility
•Quality materials & competitive price
•Replaceable footbed
•Trimable straps
•Biomechanically sound design
Forefoot ReliefKlaveness Medical Shoes
For Off-loading Of The Forefoot/Metatarsal Area
Forefoot ReliefNeuropathic forefoot lesion
Neuropathic forefoot lesion after 3 months
FOREFOOT RELIEF SHOE
FEATURESKlaveness Medical Shoes
Features & Benefits
•Designed to offload the forefoot area
•Protected mobility
•Quality materials & competitive price
•Replaceable footbed
•Trimable straps
•Biomechanically sound design
Conclusion
Shoes that improve on a proven approach to offloading the heel or
forefoot