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The total contact cast is a specific casting technique that is used to heal diabetic foot ulcers and to protect the foot during the early vulnerable phases of Charcot fracture dislocations. The cast is used to heal diabetic foot ulcers by distributing weight along the entire sole of the foot.
A TCC is an enclosed non-removable cast. It is used to redistribute pressure on the foot and can be used to treat diabetic foot ulcers, foot fractures, post-surgery wounds and Charcot neuroarthropathy (CN); an inflammatory syndrome that can affect bones and joints in people with diabetes and neuropathy.
25 Μαρ 2023 · This systematic review examined the effectiveness of rehabilitation interventions to promote physical activity during and/or after wearing an offloading device to treat diabetes-related foot ulcers.
Total contact casts are recognized as the gold standard treatment for neuropathic plantar diabetic foot ulceration, endorsed by all national and international consensus papers. Despite this, research has shown that there is a dichotomy between the ...
26 Αυγ 2015 · Treatment for diabetic foot ulcers involves 1 or more of the following: offloading, in which a plaster cast is used to take pressure off the ulcer and help with healing. treating any foot infection with antibiotics. making sure the foot has a good blood supply.
23 Οκτ 2020 · Since its introduction in July 2017 in the Cologne network for Diabetic Feet, selected patients have been treated with the VW-TCC. The aim of this study is to evaluate the feasibility and the possible effects on treatment results of the VW-TCC and to specify indications and contraindications.
To heal a neuropathic plantar forefoot ulcer without ischemia or uncontrolled infection in a patient with diabetes, consider ATL, single or pan metatarsal head resection, or joint arthroplasty when conservative treatment fails.
