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The total contact cast: a method for treating neuropathic diabetic ulcers.

Title: The total contact cast: a method for treating neuropathic diabetic ulcers.
Authors: Caputo GM; Ulbrecht JS; Cavanagh PR
Source: American Family Physician; 2/1/1997, Vol. 55 Issue 2, p605-611, 7p
Abstract: Plantar ulcers that do not heal in patients with diabetes and peripheral sensory neuropathy have been shown to be precursors of lower extremity amputation. The total contact cast is considered by many authorities to be the most effective technique for healing of wounds in the neuropathic extremity, yet it still is not widely used in clinical practice. Use of the total contact cast allows mobilization and results in diminished edema and decreased pressure over the ulcerated area. Complete healing usually occurs in eight weeks or less. Total contact casting with careful follow-up should be considered as a useful modality for healing planter ulcers in diabetic patients with neuropathy of the extremities. [ABSTRACT FROM AUTHOR]
: Copyright © 1997 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. (Copyright applies to all Abstracts.)
Database: Complementary Index