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, Pages 762-769 PDF (428.63 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2021.48039.1996 | ||
| Authors | ||
| Amro Mohamed Hassane* 1; Ayman Salem2; Wesam Mohamed Amr3; Mohamed Hamed Zidan4 | ||
| 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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