Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study
Hassane, A., Salem, A., Amr, W., Zidan, M. (2022). Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study. EKB Journal Management System, 28(4), 762-769. doi: 10.21608/zumj.2021.48039.1996
Amro Mohamed Hassane; Ayman Salem; Wesam Mohamed Amr; Mohamed Hamed Zidan. "Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study". EKB Journal Management System, 28, 4, 2022, 762-769. doi: 10.21608/zumj.2021.48039.1996
Hassane, A., Salem, A., Amr, W., Zidan, M. (2022). 'Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study', EKB Journal Management System, 28(4), pp. 762-769. doi: 10.21608/zumj.2021.48039.1996
Hassane, A., Salem, A., Amr, W., Zidan, M. Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study. EKB Journal Management System, 2022; 28(4): 762-769. doi: 10.21608/zumj.2021.48039.1996

Ordinary Dressing Versus Dressing With Total Cast Offloading In Management Of Diabetes Foot Heel Ulcer, Comparative Study

Zagazig University Medical Journal
Article 19, Volume 28, Issue 4, July 2022, Page 762-769  XML PDF (428.63 K)
Document Type: Original Article
DOI: 10.21608/zumj.2021.48039.1996
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Authors
Amro Mohamed Hassane email 1; Ayman Salem2; Wesam Mohamed Amr3; Mohamed Hamed Zidanorcid 4
1Vascular surgery, faculty of medicine,Helwan university,Helwan,Egypt
2Vascular Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
3General surgery, faculty of medicine, Zagazig university, Zagazig, Egypt
4Vascular surgery, faculty of medicine, Zagazig university, Zagazig, Egypt
Abstract
Objective: To compare the effect of using total offloading Contact Cast Application in Heel ulcers versus regular surgical dressing in Diabetic Foot patients
Methods: : This patient preference clinical trial study (PCT) was conducted at Vascular Surgery Department, Zagazig University Hospitals. Dividing patients into 2 groups (on patient preference after explanation the procedures advantages and disadvantages): Group A: This group was treated by total contact cast and regular surgical dressing. Group B: This group was treated by surgical dressing only.
Results: There is statistically significant difference between the studied groups regarding area of ulcer baseline, at 2 and 4 weeks (there is significant decrease in area and number of patients with ulcer among contact cast group). There is non-significant difference between them regarding surface area at 6, 8, 10 and weeks (only two patients within contact cast group at 8 weeks and 1 on 10 and 12 weeks had ulcer with higher decrease in surface area). There is statistically non-significant difference between the studied groups regarding age or gender. smoking, hypertension, previous debridement and osteomyelitis.

Conclusion: The study can be concluded that there is a positive prognostic role for total contact cast application in healing of heel ulcers in diabetic foot patients. TCC achieves foot unloading by transfer of load from the leg directly to the cast wall and greater proportionate load sharing by the heel helping us preventing more major amputations and provides a better and earlier outcome than regular surgical dressing.
Keywords
Diabetic foot; Total Cast Offloading; Heel Ulcer; TCC
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