Total contact casts were better than removable cast walkers or half shoes for healing diabetic neuropathic foot ulcers

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Total contact casts were better than removable cast walkers or half shoes for healing diabetic neuropathic foot ulcers.

Patients 75 patients with diabetes who had clinically significant loss of protective sensation ( > 25 V) as measured with a biothesiometer, >1 palpable foot pulse or a transcutaneous oximetry measurement > 40 mm Hg at the dorsum of the fore foot, and a superficial neuropathic plantar diabetic foot ulcer corresponding to grade 1A (University of Texas Diabetic Wound Classification System). Exclus...

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Total contact cast for neuropathic diabetic foot ulcers.

OBJECTIVE To determine the outcome of diabetic neuropathic foot ulcers treated with Total Contact Cast (TCC) in terms of percentage of ulcers healed and time to heal. STUDY DESIGN Analytical study. PLACE AND DURATION OF STUDY Department of Orthopaedic Surgery, Abbasi Shaheed Hospital, Karachi Medical and Dental College, from April 2005 to March 2007. METHODOLOGY The study included diabeti...

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Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts.

The purpose of this article is to describe the progression of ulcer healing using total contact casts (TCC) and to examine explanatory variables that may influence ulcer healing. We prospectively studied 25 diabetics with grade I (Meggitt-Wagner) plantar ulcers. All subjects received weekly contact cast changes with wound assessment. Following healing, all subjects were fitted with prescription...

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Total contact casting for diabetic neuropathic ulcers.

Despite its limited therapeutic use, several research reports indicate that TCC is currently the most rapid and effective technique for healing diabetic neuropathic ulcers. Skilled application and careful follow-up of the wound are necessary to avoid complications and minimize the risks for reulceration. As more clinicians adopt this form of therapy, the successful treatment of neuropathic ulce...

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The healing effect of total contact casting on diabetic foot ulcers

Background: Diabetes Mellitus is a prevalent disease worldwide and foot ulcer is one of the serious complications of chronic uncontrolled diabetes which could lead to various complications such as amputation of the extremity if left untreated. Total contact casting (TCC) is the gold standard in treatment of neuropathic and neuro ischemic diabetic foot ulcers (DFU) on which less emphasize is see...

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ژورنال

عنوان ژورنال: Evidence-Based Nursing

سال: 2002

ISSN: 1367-6539

DOI: 10.1136/ebn.5.1.15