{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:58:06Z","timestamp":1777712286941,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>The total contact cast (TCC) is considered the gold standard treatment to off-load diabetic foot ulcers (DFUs); however, the use of TCC can be limited due to various reasons such as underlying infections, ischemia, and patient\u2019s reluctance. Removable cast walkers are used in such cases, and the VACOped boot is one such device. The aim of this study was to analyze the results of the VACOped boot in the treatment of DFUs in real life. Case records of all patients with DFUs treated with a VACOped from 2011 to 2017 were reviewed retrospectively. Eighty-three episodes of ulcerations in 42 subjects were identified, of which 48 (57.8%) healed in a median duration of 17.5 (95% confidence interval = 15-33) weeks with the use of the VACOped and 35 (42.2%) discontinued its use. The median duration of healing with the VACOped of 17.5 weeks appears to be longer, but this cohort included patients with underlying infection and ischemia, which are often excluded in the clinical trials of off-loading. Our data show that the VACOped application is preferred by many patients and seems to be equally effective to other removable cast walkers.<\/jats:p>","DOI":"10.1177\/1534734620942671","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T07:52:20Z","timestamp":1596181940000},"page":"290-293","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The Real-Life Outcome of VACOped Boot in the Management of Diabetic Foot Ulcers"],"prefix":"10.1177","volume":"21","author":[{"given":"Wee Teck","family":"Lim","sequence":"first","affiliation":[{"name":"The University of Manchester, Manchester, UK"},{"name":"Lancashire Teaching Hospital NHS Trust, Chorley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Robinson","sequence":"additional","affiliation":[{"name":"Lancashire Teaching Hospital NHS Trust, Chorley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Jude","sequence":"additional","affiliation":[{"name":"Tameside General Hospital, Ashton-under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-5336","authenticated-orcid":false,"given":"Satyan","family":"Rajbhandari","sequence":"additional","affiliation":[{"name":"Lancashire Teaching Hospital NHS Trust, Chorley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"bibr1-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1177\/1932296814560788"},{"key":"bibr2-1534734620942671","unstructured":"National Institute for Health and Care Excellence. Diabetic foot problems: prevention and management. Published August 26, 2015. Accessed July 3, 2020. http:\/\/www.nice.org.uk\/guidance\/ng19\/resources\/diabetic-foot-problems-prevention-and-management-1837279828933"},{"key":"bibr3-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1086\/383269"},{"key":"bibr4-1534734620942671","first-page":"13","volume":"26","author":"Armstrong DG","year":"2014","journal-title":"Wounds"},{"key":"bibr5-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-012-0004-9"},{"key":"bibr6-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-2373"},{"key":"bibr7-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-014-0035-8"},{"key":"bibr8-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12213"},{"key":"bibr9-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.007"},{"key":"bibr10-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3358-1"},{"key":"bibr11-1534734620942671","unstructured":"Hanft JR, Hall DT, Kapila A. A guide to preventative offloading of diabetic foot ulcers. PodiatryToday. 2011;24:60-67. Accessed July 3, 2020. http:\/\/www.podiatrytoday.com\/guide-preventative-offloading-diabetic-foot-ulcers"},{"key":"bibr12-1534734620942671","unstructured":"OPED. VACOped Diabetic. Optimized care for the diabetic foot. OPED foot range. Accessed March 30, 2017. http:\/\/foot.oped.com.au\/vacoped-diabetic\/"},{"key":"bibr13-1534734620942671","volume-title":"Paper presented at: 22nd Vascular Surgery Symposium","author":"Mann S"},{"key":"bibr14-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2009.02.007"},{"key":"bibr15-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1019"},{"key":"bibr16-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.3.551"},{"key":"bibr17-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1708"},{"key":"bibr18-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.3.555"},{"key":"bibr19-1534734620942671","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-1750"},{"key":"bibr20-1534734620942671","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2702"}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734620942671","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1534734620942671","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734620942671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:04:53Z","timestamp":1777457093000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1534734620942671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,31]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/1534734620942671"],"URL":"https:\/\/doi.org\/10.1177\/1534734620942671","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,31]]}}}