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A novel robotic foot phantom with a diabetic heel ulcer was designed and constructed to test the combined performances of applied primary and secondary dressings, in simulated non\u2010offloaded (standing) and offloaded (supine) postures. We specifically compared the performances of the primary Exufiber dressing (M\u00f6lnlycke Health Care) combined with the secondary Mepilex Border Flex dressing (M\u00f6lnlycke) against a corresponding pair from an alternative manufacturer. Fluid retention and distribution between the primary and secondary dressings of each pair were determined using weight tests, and mechanical strength of the primary dressings was further measured postsimulated use through tensile testing. The Exufiber and Mepilex Border Flex pair performed similarly in the two simulated postures (retention\u00a0=\u00a0~97%), whereas the comparator pair exhibited a 13%\u2010decrease in retention for a supine to standing transition. Furthermore, the Exufiber dressing delivered up to 2\u2010times more fluid to its paired secondary dressing and endured 1.7\u2010times greater strain energy than the corresponding primary dressing before failure occurred. The present robotic foot phantom and associated methods are versatile and suitable for testing any dressing, in consideration of the relevant clinical factors and practice.<\/jats:p>","DOI":"10.1111\/iwj.13631","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T10:03:06Z","timestamp":1623837786000},"page":"305-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Fluid management and strength postsimulated use of primary and secondary dressings for treating diabetic foot ulcers: Robotic phantom studies"],"prefix":"10.1111","volume":"19","author":[{"given":"Adi","family":"Lustig","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, Faculty of Engineering Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-7218","authenticated-orcid":false,"given":"Amit","family":"Gefen","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Faculty of Engineering Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"The Science, Etiology and Mechanobiology of Diabetes and its Complications","author":"Gefen A","year":"2021"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopha.2019.108615"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v6.i1.37"},{"key":"e_1_2_6_5_1","unstructured":"CDC. 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