Number Of Feet Research Articles

The Direct Anterior Approach Does Not Increase Return to Function Following Hemiarthroplasty for Femoral Neck Fracture.

The purpose of this study was to evaluate functional outcomes for hemiarthroplasty using a direct anterior approach or a direct lateral approach for femoral neck fracture. This retrospective review used data collected from a single institution between 2006 and 2016. Eighty-five and 75 consecutive patients who underwent hemiarthroplasty via a direct anterior approach and a direct lateral approach, respectively, met inclusion criteria. All patients with femoral neck fractures were treated by 1 of 2 fellowship-trained orthopedic surgeons using the direct anterior approach or the direct lateral approach to hemiarthroplasty. Disposition, ambulation, and other perioperative surgical outcomes were compared between the cohorts. Compared with the direct lateral cohort, the direct anterior cohort had a shorter mean operative time (2.4 minutes, P<.01), a shorter mean length of hospital stay (2.7 days, P<.01), and a smaller mean decrease in hemoglobin postoperatively (0.7 g/dL, P<.01). No significant difference was observed between the cohorts for postoperative disposition, the number of feet ambulated on the second postoperative day, or the prevalence of ambulatory decline at 4- to 6-week and 4- to 6-month follow-up visits. Compared with the direct lateral approach, the direct anterior approach may benefit patients by small, but statistically significant, improvements in blood loss, surgical time, and length of hospital stay after hemiarthroplasty. However, the direct anterior approach does not appear to decrease the likelihood of transfer to a skilled nursing facility postoperatively or accelerate return to preoperative function. [Orthopedics. 2017; 40(6):e1055-e1061.].

Magnetic resonance imaging findings of chronic plantar fasciitis before and after extracorporeal shock wave therapy

IntroductionThe objective of this study is to examine the relationships between treatment outcome and changes in magnetic resonance (MR) imaging findings after extracorporeal shock wave therapy (ESWT) for chronic plantar fasciitis. MethodsThe subjects were 23 feet of 23 patients of refractory plantar fasciitis. The mean age was 53.7 years. The thickness of the plantar fascia (PF) and findings of a high-signal intensity area (HSIA) inside the PF, edema around the PF, and bone marrow edema (BME) of the calcaneus were investigated on MR images. The Japanese Society for Surgery of the Foot (JSSF) ankle-hindfoot scale and a visual analogue scale (VAS) were used. Correlations between an improvement in symptoms and one in the MRI findings were analyzed. ResultsThe mean thickness of the PF was 4.4±1.6mm before ESWT and 4.6±1.8mm six months after ESWT. After ESWT, there was a decrease in the numbers of feet showing HSIA inside the PF from 15 to 6, in edema around the PF from 16 to 2, and in BME of the calcaneus from 11 to 4. Clinical outcomes improved with ESWT from 70.3±5.5 to 88.6±9.1 points (JSSF), 74.1±25.3 to 28.5±24.4 points (VAS), respectively. Improvements in symptoms according to the JSSF and VAS scores and improvement in edema around the PF on MR images showed a significant correlation. ConclusionsEdema around the PF improved significantly in association with an improvement in symptoms after ESWT.

Effects of a Brief Motivational Interviewing Intervention on Adherence of Patients Undergoing Therapy in a Phase II Cardiac Rehabilitation Program

&lt;p&gt;Patients who complete a structured cardiac rehabilitation program improve physical capacity and reduce distress. However, adherence to program completion ranges widely, and non -completion of cardiac rehabilitation jeopardizes the potential benefits. This study tests the effects of a brief motivational interviewing and relaxation intervention on completion of cardiac rehabilitation in patients referred to the program after a major cardiac event. One hundred four patients were recruited into this study and randomized to the control or a four session intervention group. Patients who completed the intervention were more likely to complete cardiac rehabilitation; specifically the number of sessions completed was significantly greater (p &amp;lt; 0.042) compared to controls. In addition to the intervention, baseline depression and anxiety are important predictors of dropout from rehabilitation. When entering the program, later completers had significantly lower depression (p &amp;lt; 0.009) and anxiety (p &amp;lt; 0.036) scores on standardized psychological inventories in contrast to those patients who later dropped out of rehabilitation. There were no differences in entry diagnosis or number of feet walked between later completers and non-completers. Patients in both the intervention and control groups who completed rehabilitation sustained important physical and psychological benefits. They were able to walk a greater distance and reduced scores on the anxiety and depression inventories.&lt;/p&gt;

Mechanism for safe remote activation of networked surgical and PoC devices using dynamic assignable controls.

The number of devices within an operating room (OR) increases continuously as well as the complexity of the complete system. One key enabler to handle the complexity is an interoperable and vendor independent system of networked medical devices. To build up such an interoperable system we use the proposed IEEE 11073 SDC standards (IEEE P11073-10207, -20701, -20702) for networked point-of-care (PoC) and surgical devices. One of the major problems within the OR is that typically every device has its own control unit. This leads to unsatisfying situations like a high number of foot switches that causes operating errors or the problem that the physician cannot reach the control unit of the device where parameters have to be changed or an activation should be triggered. Dynamically assignable controls will solve these problems. This paper describes mechanisms that allow a safe remote activation of safety critical device functionalities based on a potentially unsafe off-the-shelf network with problems like connection loss and jitter. The proposed systems is based on a periodic reactivation of the device functionality and the additional use safety related information that is included into the activate operation command. The main advantage is that all described mechanisms make use of the self-description capability provided by the IEEE 11073 SDC. This enables a real interoperability and plug-and-play functionality because both the medical device and the control client do not need any a priori knowledge about each other.

Initial Clinical Experience With Extremity Cone-Beam CT of the Foot and Ankle in Pediatric Patients

Extremity cone-beam CT (CBCT) scanners have become available for clinical use in the United States. The purpose of this study was to review an initial clinical experience with CBCT of the foot and ankle in pediatric patients. A retrospective review was conducted of all foot or ankle CBCT examinations performed on patients 18 years old and younger at one institution from August 1, 2013, through February 28, 2015. A t test was used to compare mean effective dose for CBCT with that for MDCT foot or ankle examinations of age-matched control subjects. To assess changes in utilization, a t test also was used to compare the mean numbers of foot or ankle CT examinations per month before and after installation of the CBCT scanner at the institution. Thirty-four CBCT examinations were performed. The mean effective dose was 0.013 ± 0.003 mSv compared with 0.023 ± 0.020 mSv for MDCT of age-matched control subjects (p < 0.005). The mean numbers of foot or ankle CT examinations per month were 3.4 in the 18 months before and 3.8 in the 18 months after installation of the CBCT scanner (p = 0.28). The mean number of foot or ankle MDCT examinations per month decreased significantly (3.4 vs 1.9, p = 0.03) over the same period. In 56% of patients, CBCT revealed important findings that were not visible on contemporaneous radiographs. In 68% of patients, the CBCT findings affected clinical management. CBCT of the foot or ankle of pediatric patients is a viable lower-dose alternative to MDCT that provides important information that may affect clinical management.

Balance Impairments after Brachial Plexus Injury as Assessed through Clinical and Posturographic Evaluation.

Objective: To investigate whether a sensorimotor deficit of the upper limb following a brachial plexus injury (BPI) affects the upright balance.Design: Eleven patients with a unilateral BPI and 11 healthy subjects were recruited. The balance assessment included the Berg Balance Scale (BBS), the number of feet touches on the ground while performing a 60 s single-leg stance and posturographic assessment (eyes open and feet placed hip-width apart during a single 60 s trial). The body weight distribution (BWD) between the legs was estimated from the center of pressure (COP) lateral position. The COP variability was quantified in the anterior-posterior and lateral directions.Results: BPI patients presented lower BBS scores (p = 0.048) and a higher frequency of feet touches during the single-leg stance (p = 0.042) compared with those of the healthy subjects. An asymmetric BWD toward the side opposite the affected arm was shown by 73% of BPI patients. Finally, higher COP variability was observed in BPI patients compared with healthy subjects for anterior-posterior (p = 0.020), but not for lateral direction (p = 0.818).Conclusions: This study demonstrates that upper limb sensorimotor deficits following BPI affect body balance, serving as a warning for the clinical community about the need to prevent and treat the secondary outcomes of this condition.

ANÁLISIS DE LA BIOMASA DE FRAGMENTO DE BOSQUE POR MEDIO DE PRODUCTOS LIDAR, EN CATALUÑA – ESPAÑA

This work aims quantify and analyze the biomass of a forest area belonging to the Natural Space of the Alynià Mountain, located in Catalonia, Spain, by means of remote sensing tools. Thus for the study, they were used LiDAR data of the study area. From these data two Digital Terrain Models (Digital Surface Model and Digital Elevation Model of Vegetation) were generated, and other relevant statistical calculations were performed to then calculate the biomass, basal area and number of feet. The information obtained was embodied in maps to represent the results and other parameters related to biomass. As a result of this work, models of biomass, basal area and number of trees had a good relationship with the inventory data, so it was possible to estimate these parameters for the study area. In fact calculating biomass by LiDAR data resulted in 3059.76 tons for an area of ​​24.52 has drawn in the study area, while the inventory calculations resulted from 3341.42 tons in the same area. So, can be say that the LiDAR technology provides forestry research a number of applications, from dasometric order and / or dendrometry necessary for effective forest management.

Validation of the Foot and Ankle Outcome Score for Hallux Rigidus.

There is a clear call for improved patient-centered outcomes. The Foot and Ankle Outcome Score (FAOS) is a region-specific patient-reported measure that has been validated for a number of foot and ankle diagnoses, but not hallux rigidus. The aim of this study was to validate the FAOS in patients with hallux rigidus. From 2007 to 2013, 211 patients with hallux rigidus (HR) were included in the study. For the construct validity portion of the study, 125 patients completed a Short-Form 12 (SF-12) and FAOS survey. Forty additional HR patients were prospectively given questionnaires to assess the relevance of each FAOS question as it pertained to their HR. Reliability was assessed in 36 HR patients via administration of a second FAOS an average 1month following the first. In 55 patients, preoperative and postoperative FAOS scores were compared to determine responsiveness. All FAOS subscales demonstrated moderate correlation coefficients with the physical functioning, role physical, bodily pain, and physical health component scores of the SF-12, with all subscales demonstrating poor correlation with the SF-12 mental health-related domains. Content validity was high for all FAOS scores, with the exception of the daily activities subscale. All subscales achieved acceptable test-retest reliability with correlation coefficients of ≥0.72. Furthermore, all subscales were rated as responsive to change in postoperative patients (p < 0.001). This study demonstrates the acceptable construct and content validity, reliability, and responsiveness of the FAOS for hallux rigidus. Due to its broad applicability and proven validation across multiple foot and ankle pathologies, the FAOS represents a patient-centered outcome measure that can be reliably used for the assessment of patients with hallux rigidus.

Mathematical design in Poliphilo’s imaginary building, the Temple of Venus

Commentators observe that Poliphilo, describing a building, gives the verbal equivalent of an architect’s model, or rather design process, making it likely that he possessed complete drawings. Reconstruction is difficult — not that the descriptions are vague, but their odd details are fragmentary. Still they provide clues to hypothesize underlying conceptions thoroughly mathematical. Detailed plans, elevations, and sections are discoverable for all Poliphilo’s principal structures: presented here is only the layout of one building. The text mentions some whole and half numbers of feet, outlining dimensions obtainable geometrically. Regular decagon constructions derived from Alberti, Vitruvius, and Ptolemy generate a series of circumscribed and inscribed circles defining walls and arcades. Formulae for their radii involve irrationals like (√5-1)/2. But the radius of the whole building and that of its central domed space are precisely 2:1, and fixable at 20 and 10 feet. For other dimensions, rational convergents yield the numbers in the text, and are accurate, at full scale, within 1/4th to 1/40th of an inch. This at once exhibits ingenuity in the configuration and tends to confirm that it is what the author had in mind. The ratio √(5-√5):1, between the radius of the dome and the depth of the aisle, is close to 10:6, which Renaissance architects favoured. Also practically six foot broad are the articulated equal divisions of the exterior circumference. Why is this geometry not more apparent in the book? Maybe the author was challenging his most learned readers with solvable puzzles, as he does in his language.

Lapsed Derivations: Ternary Stress in Harmonic Serialism

Ternary stress presents a unique challenge to constraint-based metrical stress theories. The main question is how to model ternarity without ternary-specific representations, such as ternary feet. Along this line of reasoning, Elenbaas and Kager (1999) interpret ternarity as an underparsing effect in which long lapses are avoided while the number of feet is kept to a minimum. The standard constraint that prohibits long lapses is *LAPSE (1). This constraint is also known as *EXTENDEDLAPSE (Gordon 2002) or *LONGLAPSE (Kager 2007).

Contact-based motion graph and its application in locomotion synthesis for virtual actors

To generate foot-skate free locomotion along user defined path for virtual actors, a novel data structure of contact-based motion graph is proposed. At first, sample motions are divided to contact clips according to the number of feet in contact with the ground. Then a directed graph can be built by producing nodes and basic edges based on these clips. After generating edges between nodes from different samples by linear interpolation, the contact-based motion graph can be defined as a strongly connected component of this graph. Applying synthesis strategy designed for nodes and edges, a path on contact-based motion graph can be converted to a smooth foot-skate free motion moving along the given path. The following experiments show the effectiveness of this method.

Design of Module of Moving Robot

Article deals with the design of module walking robot. When designing a walking robot construction is an important to choose correct structure of the body and legs. In practice, are mostly used constructions with the numbers of feet two, four and six. Selected variant was subsequently analyzed and optimized and was assigned appropriate material. Based on the measurements and the subsequent comparison of the results was designed suitable actuators for selected modes of motion.

Changes in length of the plantar aponeurosis during the stance phase of gait – An in vivo dynamic fluoroscopic study

In locomotion, ligaments and muscles have been recognized to support the arch of the foot. However, it remains unclear to what extent the passive and active structures of the lower extremity support the longitudinal arch of the foot during walking. In this study, the mechanical function of the plantar aponeurosis (PA) is investigated by elongation measurements in vivo during the stance phase of gait, in combination with measurements of the mechanical properties of the PA in vitro.Fluoroscopy was used to measure the dynamic changes in PA length and the angular motion of the metatarsophalangeal joint of the first ray, measured during the stance phase (StPh) in 11 feet. Simultaneously, ground forces were measured. Additionally, four cadaver feet delivered topographic information relating to the PA, and three autopsy specimens of PA served to determine the in vitro mechanical properties of PA.The present study revealed a non-significant peak average PA shortening of 0.48% at about 32.5% StPh, followed by a significant average peak elongation of 3.6% at 77.5% StPh. This average peak elongation of 3.6% corresponds to a force of 292N, as estimated by mechanical testing of the autopsy PA specimens. Considering the maximum peak elongation measured in one volunteer of 4.8% at 76% StPh, a peak PA load of 488N might be expected. Hence, with an average body weight of 751N, as allocated to the 11 investigated feet, this maximum peak force would correspond to about 0.65×body weight.As far as we are aware, this is the first report on a dynamic fluoroscopic study of the PA in gait with an appreciable number of feet (11 feet).In conclusion, muscles contribute to support of the longitudinal arch of the foot and can possibly relax the PA during gait. The ‘windlass effect’ for support of the arch in this context is therefore questionable.

Efficient Protocols for Identifying the Missing Tags in a Large RFID System

Compared to the classical barcode system, radio frequency identification (RFID) extends the operational distance from inches to a number of feet (passive RFID tags) or even hundreds of feet (active RFID tags). Their wireless transmission, processing, and storage capabilities enable them to support full automation of many inventory management functions in industry. This paper studies the practically important problem of monitoring a large set of active RFID tags and identifying the missing ones-the objects that the missing tags are associated with are likely to be missing as well. This monitoring function may need to be executed frequently and therefore should be made efficient in terms of execution time in order to avoid disruption of normal inventory operations. Based on probabilistic methods, we design a series of missing-tag identification protocols that employ novel techniques to reduce the execution time. Our best protocol reduces the time for detecting the missing tags by an order of magnitude when compared to existing protocols.

Comparison of the short-term and long-term results of the Ponseti method in the treatment of idiopathic pes equinovarus

Congenital club foot is one of the most common birth defects involving the musculoskeletal system. At present two methods are used for the treatment of this deformity: French and Ponseti method. The purpose of this study was to compare the short-term (up to three years) and long-term (three to seven years) results of treatment with the Ponseti method. A total of 195 consecutive infants (143 boys and 52 girls) with idiopathic club foot treated with the Ponseti method in the period of 2005-2012 were included in this study; the total number of feet was 303. The severity of the foot deformity was classified according to Diméglio. When relapse occurred up until three years of age, we started with the casting again. If conservative treatment was unsuccessful we proceeded to surgical treatment. Primary correction was attained in all cases. Surgical correction of relapses was performed in 30 % of patients according to the Ponseti method (re-tenotomy of the Achilles tendon and transposition of the tibialis anterior) and in 70 % by alternative techniques. The number of relapses indicated for surgery increased with increasing period of follow-up: whereas in patients where the treatment started already in 2005 relapses occurred in 72 %, in patients included in 2011 the number of recurrences only reached 3 %. It follows from our results that it is impossible to cure all club feet with casting, tenotomy of the Achilles tendon and transposition of the tibialis anterior only.

Exercise Helped Even Elders With Moderate Kidney Disease

SAN DIEGO – A 12-week exercise program improved the physical capacity of elderly patients with stage 3 and 4 chronic kidney disease, results from a single-center study demonstrated. The intervention also improved patient perceptions of general health, vitality, and physical functioning. “We believe that renal rehabilitation exercise programs can be integrated into standard chronic kidney disease treatment,” Dr. Ana Paula Rossi, a nephrology fellow at Maine Medical Center, Portland, said at the meeting Kidney Week. “We need longer follow-up and larger studies to determine if this will translate into decreased mortality rates and slow the progression of CKD.” In a 12-week study conducted in 2011, Dr. Rossi and her associates randomized 48 patients with stage 3 and 4 CKD to usual care and 59 patients to an exercise intervention, which consisted of guided exercise at a cardiac rehabilitation facility 2 times per week for 3 months. Patients were encouraged to exercise an additional day per week on their own. Exercise consisted of treadmill walking, stationary cycling, or both. The duration was increased by 2-3 minutes per session, with the ultimate goal of 60 minutes of continuous exercise. Patients also did weight training with upper and lower extremity extensions and flexions with free weights. They started with one set of 10 repetitions per exercise, which was increased to a goal of three sets of 15 repetitions before the weight was increased. They also did stretching exercises. Outcomes included the results of the 6-minute walk test (the number of feet walked per 6 minutes), the sit-to-stand test in which the patient is asked to sit and stand up 10 times (time reported is the percentage of age-predicted time), and the gait-speed test, a measurement of centimeters per second walked over a distance of 20 feet. To assess quality of life, the researchers administered the RAND 36-item Short Form Health Survey. Patients with ongoing angina or transient ischemic attacks were excluded from the study, as were those with chronic lung disease resulting in significant shortness of breath or oxygen desaturation at rest, and those with lower extremity amputation with no prosthesis or with an orthopedic disorder severely exacerbated by activity. Patients in both groups were around 69 years old and had similar baseline reported levels of activity. After the 12-week study period, the usual care group had no significant improvements in the three main outcomes. Patients in the exercise intervention group had significant improvements in the 6-minute walk test (19%, from 1,117 to 1,327 feet per 6 minutes; P < .0001) and in the sit-to-stand test (29%, from 68% to 97% of age predicted; P = .0004), but not in the gait-speed test (183 vs. 171 cm; P = .06). Compared with their counterparts in the usual-care group, patients in the intervention group reported significant improvements in energy (P = .01), physical functioning (P < .01), and in general health (P = .03). Neither group experienced significant improvements in pain, emotional well-being, or in social functioning. The study was funded by the Maine Medical Center Research Institute. Dr. Rossi said that she had no relevant financial conflict to disclose. The meeting was sponsored by the American Society of Nephrology.

Prevalence of skin lesions in turkeys at slaughter

1. The aims of this study were (i) to evaluate the prevalence of welfare-related cutaneous lesions in turkeys at the end of the rearing period and (ii) to study the correlations between lesions. 2. The percentage of lesions in each flock was determined by observation at the slaughterhouse. Sixty flocks were investigated in 13 slaughterhouses between April and July 2006. 3. All flocks showed a high proportion of turkeys with footpad lesions, with 40·7% of turkey flocks having severe footpad dermatitis. A significant number of feet had swelling of the footpad and deviated toes (60·0% and 21·4% respectively). Arthritis was observed in 25·4% of the carcases and an average of 30·1% had breast buttons on the keel. 4. Positive correlations were found between evidence of feather pecking and arthritis, toe deviations and swelling of the footpad. Deviated toes, swelling of the feet and feather pecking were negatively linked to the most severe scratches (P < 0·001). 5. A method is proposed to assess turkey welfare at the slaughterhouse based on several criteria: footpad lesions, arthritis, severe scratches, deviated toes, swelling of the footpad and breast buttons.

The results of Grice Green subtalar arthrodesis of valgus foot in spina bifida

Background:Valgus foot is a common foot deformity in spina bifida. The most popular operation for the valgus deformity has been the Grice talocalcaneal blocking. It has not been studied primarily in children with spina bifida. We report a prospective series, we present the results of hind foot valgus deformity of children with spina bifida, using Grice talocalcaneal arthrodesis with a tricortical iliac bone graft.Materials and Methods:Between May 2000 and December 2003, 21 patients with bilateral (42 feet) valgus deformity of feet underwent surgery. There were 7 males and 14 females. The mean age of patients was 67.7 months (range 50–108 months).Results:The total number of feet that had nonunion was 11, in 7 of them the grafts were completely reabsorbed and the outcome of all these feet was unsatisfactory. Four feet had partial union of which three had unsatisfactory and one had satisfactory outcome. Sixteen feet had residual valgus deformity at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively. The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05).Conclusion:Grice subtalar arthrodesis technique is still a valuable option for valgus foot in patients with spina bifida. In this study, we found more encouraging results in older patients.

Proximal Medial Gastrocnemius Release in the Treatment of Recalcitrant Plantar Fasciitis

Isolated gastrocnemius contracture has been implicated as the cause of a number of foot and ankle conditions. Plantar fasciitis (PF) is one such condition that can be secondary to altered foot biomechanics as a result of gastrocnemius contracture. In this paper, we report our results with an isolated release of the proximal medial head of gastrocnemius for recalcitrant PF. We prospectively followed a consecutive series of 21 heels in 17 patients following a Proximal Medial Gastrocnemius Release (PMGR). PF was diagnosed clinically and confirmed radiologically in all cases. To be included, at least 1~year of conservative treatment must have been tried and an isolated gastrocnemius contracture confirmed clinically using Silfverskiold's test preoperatively. Outcome measures included a 5-point Likert scale as well as subjective and objective calf weakness assessments. Final followup was on average 24 (range, 8 to 36) months after the surgery. Seventeen of the 21 heels (81%) reported total or significant pain relief following the surgery and none reported worsening of their symptoms. The majority did not have subjective or objective evidence of calf weakness. There were no `major' complications and only one case that suffered a `minor' complication. We believe a PMGR is a simple way of treating a patient with PF who has failed to respond to conservative management. In our series, the results were favorable, the recovery fast and the morbidity low.

Evaluation of the moisturizer Pédimed ® in the foot care of diabetic patients

Aim Xerosis is one of the most common abnormalities observed in the diabetic foot, promoting ulceration through the development of fissures and hyperkeratosis. Its treatment is therefore paramount and must be implemented early on. The objective of this study was to assess the moisturizing properties of Pédimed ® cream in the treatment of foot xerosis in diabetic patients. Methods In this randomized double-blind study, Pédimed ® and its placebo were randomly allocated to the right/left foot of each patient (one active/one control side). Products were applied twice daily for 4 weeks. Xerosis was assessed using the clinical Xerosis Assessment Scale (XAS), corneometry (skin hydration measurement) and D-Squame ® (scale sample analysis) after 14 (D14) and 28 (D28) days of treatment. Results Twenty-four men and 30 women, aged 57.0 ± 12.7 years, with type 1 or type 2 diabetes and moderate-to-severe foot xerosis were included. A dramatic decrease in XAS score that was more marked with Pédimed ® than with placebo was observed from D14 (38.1% vs 20.9%, P < 0.0001), reaching 61.9% vs 34.9% at D28 ( P < 0.0001). The number of feet with fissures was greatly reduced with Pédimed ® compared with placebo at both D14 (11.1% vs 22.2%, P = 0.031) and D28 (5.6% vs 18.5%, P = 0.039). Skin hydration increased by 48.9% with Pédimed ® vs 31.7% with placebo at D14 ( P = 0.0002), reaching 57.3% vs 36.5% at D28 ( P < 0.0001). All D-Squame ® parameters showed greater improvement with Pédimed ®. Product tolerability was excellent. Conclusion Validated clinical and paraclinical tools demonstrated the efficacy of Pédimed ® in improving xerosis and reducing fissures of the feet in diabetic patients.