PubMed HealthSearch

Biomedical subjects

S W Balkin

Publications and source records attributed to S W Balkin.

9 recordsLinked to original sources

Silicone injection management of diabetic foot ulcers: a possible model for prevention of pressure ulcers.

Long-term clinical and histologic findings with injectable fluid silicone to reduce mechanical forces over plantar skin are described. The fluid induces a relatively stable soft tissue prosthesis between skin and bone, reducing the frequency of insensitive ulcer recurrence in the foot. On the basis of these favorable findings, studies are warranted to determine the fluid's efficacy in prevention of pressure ulcers.

Adult

Silicone implants.

Explore the source record for details and available documents.

Foot Diseases

The fluid silicone prosthesis.

Injected fluid silicone serves as a soft prosthetic device and is an effective alternative to surgery in the management of corns and calluses. The material can relieve pain in weightbearing scars, reduce the incidence of recurring neuropathic ulcers, and protect skin at points of bony pressure. Augmenting subcutaneous tissue reduces both the vertical forces that cause direct pressure and the shear stresses imposed on plantar skin during horizontal acceleration or deceleration. The only significant side effect has been fluid migration, which is asymptomatic upon weightbearing and is seen only rarely when small amounts are implanted. Histologic examination of long-term biopsy and necropsy specimens has revealed no adverse tissue response. The safety and efficacy of injectable silicone as a soft-tissue implant in the foot have not been confirmed by the Food and Drug Administration, and pending completion of authorized investigation, the material is not available. Successfully completed studies, federal approval, and proper use could provide relief for millions of people who suffer from these common foot disorders.

Aged

Treatment of corns by injectable silicone.

Corns and calluses are the most frequently encountered foot complaints. The choices of care range from self trimming and application of over-the-counter remedies to professional treatment, which may include tendon, skin, and bone surgery. A technique using fluid silicone injected subdermally to cushion corns is described. Twenty-nine patients with 71 digital pressure keratoses were injected between 1965 and 1970. Results of treatment of 77% of the corns were rated good to excellent after an average follow-up period of six years, and no serious reactions have been observed. The procedure offers an effective, nondisabling method of treatment, as opposed to lifelong palliation or surgical intervention.

Adult

Treatment of painful scars on soles and digits with injections of fluid silicone.

Between 1964 and 1975, 389 patients were treated with injections of fluid silicone for corns, calluses, healed diabetic ulcers, and painful scars. This paper presents the results achieved in 27 patients with 31 plantar and 3 digital scars treated by injections of silicone to induce protective subdermal cushioning at sites of increased pressure.

Adult