Roughly one third of diabetic patients will develop plantar foot ulcers. Subsequent infection and necrosis is a major cause for below-knee amputation. Total contact casting is an effective and economical method for outpatient treatment of such ulcers. Safe use of this technique critically depends on attention to detail. When the technique is correctly performed, success rates of up to 90% can be achieved. This article describes the method of cast application and reviews the specific indications and limitations for this treatment.
ASJC Scopus subject areas
- Orthopedics and Sports Medicine