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Foot Care - Intro to Casting (Total
Contact Cast)
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There are many techniques
and devices available to facilitate healing of plantar ulceration.
One of the most effective tools is the Total Contact Cast (TCC).
The TCC differs from the conventional fracture cast in the design
and use of padding. The first cast is applied for approximately
1 week or less if excessive drainage is expected. Subsequent
casts are changed every 2 weeks. Average healing time is
6 weeks. Charcot fractures are cast up to 3 months or when
surface temperatures are within 2 degrees centigrade.
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Indications:
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- Plantar
ulcerations of the insensitive foot
- Neuropathic
fractures (Charcot fractures)
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