Post Total Contact Casting Healing Pattern in Leprotic Chronic Plantar Foot Ulcer
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چکیده
Intoduction: Neuropathic plantar ulceration is one of the serious handicap to the patient with anaesthetic feet in active life. The only way to heal a plantar ulcer is to provide rest it. If the patient walks on the ulcer,it spreads and osteomyelitis ensues; the scarring and distortion make further inevitable ulceration until walking finally becomes impossible.Neuropathic trophic plantar ulceration can be seen in variety of conditions involving insensitivity of the foot including diabetes, leprosy, hereditary neuropathy, tabes dorsalis, herniated nucleus pulposus , treated for months and years by various forms of local applications and dressings requiring high cost , time and money. To receive this treatment patients have to walk from their homes on bandaged feet, continuing Abstract
منابع مشابه
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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A lthough the benefits of total contact casting for healing plantar neuropathic ulcers are consis tent throughout a large body of available literature, the method of cast application varies (1–17). Cast structure at the ulcer site provides one major variance, i.e., should the cast create total contact with the entire plantar surface of the foot or should the wound be isolated? This article aims...
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Purpose of Work . The aim of this project was to describe the progression of healing of foot wounds using total contact casting and to evaluate potential factors that might prolong that healing . Subjects/ Procedures . We enrolled 25 persons with foot wounds and casted them until healing using the total contact cast, which is a special type of casting that uses minimal padding in an effort to s...
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BACKGROUND Chronic planter ulcer, also known as trophic ulcer, shows no tendency towards healing. It is usually seen in sensory deficient foot. The clinical result of a sensory, motor or autonomic loss of a nerve function is frequently the same--ulceration, although the exact cause may vary. The treatment principle involves dressing and avoiding pressure on the ulcerated site called 'offloading...
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