Volume : VII, Issue : II, February - 2018
A COMPARATIVE STUDY OF TOTAL CONTACT CASTING VERSUS TRADITIONAL DRESSING FOR TREATMENT OF DIABETIC FOOT ULCERS
Dr. Pradip Kumar Merli, Dr Alok Prusty
Abstract :
This study compared the outcome of total contact casting (TCC) with traditional
dressing treatment (TD) in the management of neuropathic diabetic plantar ulcers.
Thirty one patients with plantar ulcers without any gross infection, osteomyelitis or
gangrene were randomly assigned to the TCC group (n = 15) or TD group (n = 16). In
the experimental group, TCC was applied on the initial visit and subjects were
Instructed weekly follow up and to limit ambulation to one–third of their usual
activity. Subjects in the control group (TD) were prescribed dressing changes and
were advised against beå weight on the involved extremity. Ulcers were
considered healed if they showed complete skin closure with no drainage. Non
healed ulcers were those which showed no decrease in size by 6 weeks or if infection
developed requiring hospitalization. In the TCC group, 12 out of 15 ulcers healed in
48±7 days; in the TD group, 10 out of 16 ulcers healed in 58±9 days. Comparatively
higher rate of ulcer healing with fewer infections was seen in the TCC group. New
aasions were a frequent complication of TCC which can be reduced with frequent
cast changes.We conclude TCC is a more effective method than dressing for treating
diabetic plantar ulcers reducing the risks of amputation.
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DOI : 10.36106/ijsr
Cite This Article:
Dr.Pradip Kumar Merli, Dr Alok Prusty, A COMPARATIVE STUDY OF TOTAL CONTACT CASTING VERSUS TRADITIONAL DRESSING FOR TREATMENT OF DIABETIC FOOT ULCERS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH :
Volume-7 | Issue-2 | February-2018
Number of Downloads : 319
References :
Dr.Pradip Kumar Merli, Dr Alok Prusty, A COMPARATIVE STUDY OF TOTAL CONTACT CASTING VERSUS TRADITIONAL DRESSING FOR TREATMENT OF DIABETIC FOOT ULCERS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-2 | February-2018
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