Use of the Cam Walker in treating diabetic ulcers. A case report

Abstract

This case study shows how a Cam Walker when equipped with an arch filler can be another tool the physician may use to help heal diabetic ulcerations. Even after other methods of conservative care have failed, the Cam Walker with an arch filler has been shown to gradually decrease and heal diabetic ulcerations on the plantar aspect of the foot. It accomplishes this by decreasing the pressure on the ulcerative areas and by decreasing the velocity with which the foot strikes the ground.

Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review

“…Key data extracted from the metaanalyses and controlled studies are presented in the evidence table in Table S2. Twelve non-controlled studies from our previous systematic review [7][8][9][10][11][12][13][14][15][16][17][18] were excluded because they were case studies or otherwise did not fit the scope. Results are presented separately for each outcome and intervention group.…”

The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

“…In a retrospective analysis, accommodative dressing (felted foam) worn in a surgical shoe, a healing shoe, or a walking splint was found to be as effective as a TCC in both healing proportion and time to healing [23]. Finally, two case studies of patients with recalcitrant plantar ulceration showed that continued treatment with a Cam walker with plastazote arch filler [84] or an ankle-foot orthosis [85] resulted in healing within 4 months and 12 weeks, respectively.…”

Commonly Used Types and Recent Development of Ankle-Foot Orthosis: A Narrative Review

“…An angle adjuster can be added when necessary to adjust the orthosis and allow for ankle movement within the required range. The WB is used for acute injuries such as ligament sprains/tears, postoperative stabilization or support, ulcers, or cases with fractures [29,[32][33][34][35]. Amaha et al [36] in 2016 retrospectively evaluated patients who had surgeries for unstable ankle fractures.…”