Total contact casting for diabetic neuropathic ulcers

Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63110, USA.

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 ulcers using TCC should result in a lower incidence of infection, hospitalization and lost income in patients with chronic sensory neuropathies.

This article has been cited by other articles:

				K. Ismail, K. Winkley, D. Stahl, T. Chalder, and M. Edmonds A Cohort Study of People With Diabetes and Their First Foot Ulcer: The role of depression on mortality Diabetes Care, June 1, 2007; 30(6): 1473 - 1479. [Abstract] [Full Text] [PDF]

				M. J. Mueller, D. Zou, and D. J. Lott "Pressure Gradient" as an Indicator of Plantar Skin Injury Diabetes Care, December 1, 2005; 28(12): 2908 - 2912. [Abstract] [Full Text] [PDF]

				D. J Lott, K. S Maluf, D. R Sinacore, and M. J Mueller Relationship Between Changes in Activity and Plantar Ulcer Recurrence in a Patient With Diabetes Mellitus Physical Therapy, June 1, 2005; 85(6): 579 - 588. [Abstract] [Full Text] [PDF]

				G. B Salsich, M. J Mueller, M. K. Hastings, D. R Sinacore, M. J Strube, and J. E Johnson Effect of Achilles Tendon Lengthening on Ankle Muscle Performance in People With Diabetes Mellitus and a Neuropathic Plantar Ulcer Physical Therapy, January 1, 2005; 85(1): 34 - 43. [Abstract] [Full Text] [PDF]

				G. Ha Van, H. Siney, A. Hartmann-Heurtier, S. Jacqueminet, F. Greau, and A. Grimaldi Nonremovable, Windowed, Fiberglass Cast Boot in the Treatment of Diabetic Plantar Ulcers: Efficacy, safety, and compliance Diabetes Care, October 1, 2003; 26(10): 2848 - 2852. [Abstract] [Full Text] [PDF]

				C. Caravaggi, R. De Giglio, C. Pritelli, M. Sommaria, S. Dalla Noce, E. Faglia, M. Mantero, G. Clerici, P. Fratino, L. Dalla Paola, et al. HYAFF 11-Based Autologous Dermal and Epidermal Grafts in the Treatment of Noninfected Diabetic Plantar and Dorsal Foot Ulcers: A prospective, multicenter, controlled, randomized clinical trial Diabetes Care, October 1, 2003; 26(10): 2853 - 2859. [Abstract] [Full Text] [PDF]

				M. J. Mueller, D. R Sinacore, M. K. Hastings, M. J. Strube, and J. E Johnson Effect of Achilles Tendon Lengthening on Neuropathic Plantar Ulcers*: A Randomized Clinical Trial J. Bone Joint Surg. Am., August 1, 2003; 85(8): 1436 - 1445. [Abstract] [Full Text] [PDF]

				E. Faglia, F. Favales, and A. Morabito New Ulceration, New Major Amputation, and Survival Rates in Diabetic Subjects Hospitalized for Foot Ulceration From 1990 to 1993: A 6.5-year follow-up Diabetes Care, January 1, 2001; 24(1): 78 - 83. [Abstract] [Full Text]

				M. J Mueller, K. E Smith, P. K Commean, D. D Robertson, and J. E Johnson Use of Computed Tomography and Plantar Pressure Measurement for Management of Neuropathic Ulcers in Patients With Diabetes Physical Therapy, March 1, 1999; 79(3): 296 - 307. [Abstract] [Full Text] [PDF]