A Review of Total Contact Casts for Offloading Diabetic Foot Ulcers
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چکیده
Dr Paul Brand was the first to widely use Total Contact Casting (TCC) in the mid 1960’s to offload the insensate foot in Hansen’s disease (Sinacore et al, 1987). It has since been identified as a ‘Gold Standard’ for offloading diabetic foot ulceration within the diabetic foot-care community (Boulton, 2004).
منابع مشابه
Use of Pressure Offloading Devices in Diabetic Foot Ulcers
OBJECTIVE Pressure mitigation is crucial for the healing of plantar diabetic foot ulcers. We therefore discuss characteristics and considerations associated with the use of offloading devices. RESEARCH DESIGN AND METHODS A diabetic foot ulcer management survey was sent to foot clinics in all 50 states and the District of Columbia in 2005. A total of 901 geographically diverse centers responde...
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BACKGROUND Footwear and offloading techniques are commonly used in clinical practice for the prevention and treatment of foot ulcers in diabetes, but the evidence base to support this use is not well known. The goal of this review was to systematically assess the literature and to determine the available evidence on the use of footwear and offloading interventions for ulcer prevention, ulcer tr...
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INTRODUCTION Most plantar foot ulcers in diabetic patients are caused by a combination of neuropathy and elevated plantar pressure and develop in the regions of forefoot and toes. Casting devices (i.e. Total Contact Cast or Mabal shoe) are commonly used for offloading these ulcers. Alternatively, in many diabetic foot centers where casting technicians are absent, prefabricated forefoot offloadi...
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BACKGROUND Offloading is key to preventing or healing plantar neuropathic foot ulcers in diabetes. Total contact casts or walkers rendered irremovable are recommended in guidelines as first-line options for offloading, however the use of such devices has been found to be low. This study aimed to investigate offloading practices for diabetes-related plantar neuropathic ulcers. METHODS An onlin...
متن کاملFootwear and offloading interventions to prevent and heal diabetic foot ulcers: Adapted IWGDF guidance
Introduction: Foot ulcer is one of the greatest complications of diabetes. If there is no effective pressure reduction in the ulcer, healing may be delayed. In this regard, the use of offloading methods for the prevention and treatment of foot ulcers in diabetic patients is known as a common therapeutic approach. Since evidence-based recommendations should be considered for the use of the above...
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