Treatment of diabetic ulcers by total contact casting

James D. Michelson

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)190-195
Number of pages6
JournalOperative Techniques in Orthopaedics
Issue number3
StatePublished - Jul 1994


  • casting
  • diabetes
  • foot
  • ulcer

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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