A diabetic foot ulcer pilot study: does silicone gel sheeting reduce the incidence of reulceration?

J Am Podiatr Med Assoc. Mar-Apr 2011;101(2):116-23. doi: 10.7547/1010116.

Abstract

Background: Silicone gel sheeting is an effective therapeutic intervention in the management of scar tissue. This pilot study was designed to examine the effect of silicone gel sheeting in preventing reulceration at former wound sites in diabetic patients.

Methods: Thirty patients with diabetes and a healed plantar neuropathic foot ulcer were enrolled and investigated in this randomized controlled trial. Participants with a newly healed ulcer were assigned to use either silicone gel sheeting or emollient cream daily for 3 months.

Results: Compared with emollient cream use, the use of silicone gel sheeting did not diminish and may have potentially increased the risk of reulceration.

Conclusions: Silicone gel sheeting does not seem to reduce the risk of reulceration in diabetic patients. The results of this trial should be viewed with caution given the small sample size.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adult
  • Bandages, Hydrocolloid*
  • Diabetic Foot / drug therapy*
  • Diabetic Foot / epidemiology
  • Diabetic Foot / pathology
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Pilot Projects
  • Retrospective Studies
  • Secondary Prevention*
  • Silicone Gels / administration & dosage*
  • Treatment Outcome
  • Western Australia / epidemiology
  • Wound Healing / drug effects*

Substances

  • Silicone Gels