A comparative study between total contact casting and conventional dressings in the non-surgical management of diabetic plantar foot ulcers.

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dc.contributor.authorGanguly, Suparnoen_US
dc.contributor.authorChakraborty, Koustubhen_US
dc.contributor.authorMandal, Pankaj Kumaren_US
dc.contributor.authorBallav, Ambaren_US
dc.contributor.authorChoudhury, Subhankaren_US
dc.contributor.authorBagchi, Subrataen_US
dc.contributor.authorMukherjee, Satinathen_US
dc.date.accessioned2008-04-03en_US
dc.date.accessioned2009-05-31T10:57:39Z
dc.date.available2008-04-03en_US
dc.date.available2009-05-31T10:57:39Z
dc.date.issued2008-04-03en_US
dc.description.abstractOf all non-traumatic amputations 50% occur in Diabetics, mostly as a final outcome of foot ulcers. A major biomechanical factor in the causation of foot ulcers in persons with diabetes mellitus is elevated peak plantar pressure. Offloading the ulcer area in the form of equalisation of pressure across the plantar surface can accelerate healing of the ulcer. Total contact casting is one such method of offloading, and this study attempts to investigate the advantages of the above method as compared to conventional dressings in the physiatric management of the depth--ischaemia grades 1A, 1B, 2A, 2B neuropathic plantar ulcers in a diabetic patient. The outcome measure was the time taken for complete resolution of the ulcers. Of the 29 patients in Category A treated with total contact casting involving a total of 39 foot ulcers, 36 healed, which was statistically significant (p < 0.05) as compared to 25 out of the 33 ulcers healing in Category B consisting of 26 patients treated by conventional dressings alone. Total contact casting is an effective, rapid, economical, ambulatory and outpatient--based method for the treatment of diabetic foot ulcers.en_US
dc.description.affiliationDepartment of Physical Medicine and Rehabilitation, Institute of Postgraduate Medical Education and Research, Kolkata 700020.en_US
dc.identifier.citationGanguly S, Chakraborty K, Mandal PK, Ballav A, Choudhury S, Bagchi S, Mukherjee S. A comparative study between total contact casting and conventional dressings in the non-surgical management of diabetic plantar foot ulcers. Journal of the Indian Medical Association. 2008 Apr; 106(4): 237-9, 244en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/99835
dc.language.isoengen_US
dc.source.urihttps://www.jimaonline.org.in/en_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBandagesen_US
dc.subject.meshCasts, Surgicalen_US
dc.subject.meshDiabetic Foot --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFoot Ulcer --epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrevalenceen_US
dc.titleA comparative study between total contact casting and conventional dressings in the non-surgical management of diabetic plantar foot ulcers.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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