DARCO Peg Assist System Comfortable Cushioning – 1 Pair

DARCO Peg Assist System

Effectively off-loads the plantar aspect of the foot after surgery or when wounds are present.

Sizes available:

Men’s SMALL
Men’s MEDIUM
Men’s LARGE
Men’s EXTRA LARGE

Women’s SMALL
Women’s MEDIUM
Women’s LARGE
Packaging:
1 Pair/Box

$13.50

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DARCO Peg Assist System peg-assist system, Darco, smallDARCO Peg Assist System

Effectively off-loads the plantar aspect of the foot after surgery or when wounds are present.

Peg assist Sizes available:

Men’s SMALL
Men’s MEDIUM
Men’s LARGE
Men’s EXTRA LARGE

Women’s SMALL
Women’s MEDIUM
Women’s LARGE

Packaging:
1 Pair/Box

Please Visit our Orthopedic & DME Supplies Category

Frequently Asked Questions

What is a common cause of diabetic foot ulcers?

The most common causal pathway in the development of the diabetic foot ulcer is repetitive microtrauma. The clinical presentation of DFUs arises from unopposed repetitive microtrauma exacerbated by the systemic comorbidities associated with diabetes mellitus including peripheral neuropathy, structural changes and ischemia.

In 1963, an early offloading publication established that providing equal distribution of plantar pressure throughout the sole of the foot was the principal factor in healing trophic ulcerations occurring in a neuropathic population. Yet nearly 50 years later, practical offloading of the diabetic foot ulcer still remains a critical challenge for podiatric physicians. The peg assist can help.

Up to 50 percent of people with diabetes eventually lose sensation in their feet, which is sufficient for them to injure themselves unknowingly. It is vital to offload these areas (a peg assist insole can help) but due to patients’ inadequate sensation, they are unable to judge whether they have obtained pressure relief. Plantar pressure is a causative factor in the development of DFUs and ulceration is frequently a precursor to amputations and increases the mortality rate.

Skin breakdown occurs with increased plantar pressure and more specifically, peak plantar pressure. Repeated loading of high peak plantar pressure during walking has been associated with skin breakdown although there is no definite threshold that predicts ulceration. One must also consider the duration and repetition of pressures. The rate of spatial change in plantar pressure distribution and the peak pressure gradient may be other markers of skin trauma. A peg assist insole can reduce pressure on the bottom of the foot.

What are some types of Offloading Devices?

Total contact casts. Several studies support the total contact cast (TCC) as the gold standard offloading device for diabetic foot ulcers. Researchers have shown that offloading methods such as custom insoles, shoes or pads heal fewer wounds in comparison to the total contact cast. In a 2000 study, Hanft and Surprenant found that the percentage of DFU closures after five weeks was 88 percent from TCC, 63 percent from 3-D walkers and custom insoles, and 55 percent from custom sandals with three layers of foam.

Charcot restraint orthotic walker. The CROW boot is a device composed of polypropylene material lined with Plastazote. It incorporates a total contact custom orthotic and utilizes a rocker-bottom sole.

Integrated prosthetic and orthotic system (IPOS). The IPOS model is designed for forefoot ulcerations. This “half shoe” has 10 degrees of dorsiflexion and a heel that is elevated 4 cm. so the forefoot does not contact the ground.

The OrthoWedge shoe (Darco) is very similar to the IPOS model with the exception of the sole extending to the toes. The patient’s ability to dorsiflex the ankle is an issue as well. One study has shown plantar pressure reduction of 64 to 66 percent although the OrthoWedge was less effective than the total contact cast. The healing sandal is a total contact orthotic made of Plastazote. The ulcerated area contains a cutout for offloading and the edges are skived to minimize stress. The peg assist system is effective to redistribute pressure.

What are some things to Know About Shoes And Insoles?

Patients with healed ulcers, no amputations, or significant pedal deficiencies can transition to a shoe-based total contact device such as a custom-molded shoe with an insole. This can protect the skin surrounding the healed ulcer. The patient can transition into a custom-molded shoe after the tissue and healed ulcer are strong enough to bear the pressure and shear forces of weight-bearing. Pressure is spread out across the plantar surface of the foot with total contact insoles so not all the pressure focuses on the previous ulceration site.

There are various offloading modalities that have insoles with removable diamond or hexagonal-shaped pieces, like the peg assist system, to selectively offload particular areas of the foot.

“Rocker sole” is a general term comprising a variety of rigid sole shoes but all these shoes unload pressure almost entirely at the forefoot. Research suggests that rocker soles effectively reduce peak plantar pressures in patients at risk for diabetic foot ulceration, particularly when one pairs these shoes with custom orthoses.

Source: (podiatrytoday.com)

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DARCO Peg Assist System peg-assist system, Darco, small
DARCO Peg Assist System Comfortable Cushioning – 1 Pair
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