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1
American Diabetes Association: Consensus Development Conference on Diabetic Foot Wound Care. .Diabetes Care 22::1354. ,1999. .
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2
Lavery LA, Vela SA, Lavery DC, et al: Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations: a comparison of treatments. .Diabetes Care 19::818. ,1996. .
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3
Armstrong DG, Nguyen HC, Lavery LA, et al: Offloading the diabetic foot wound: a randomized clinical trial. .Diabetes Care 24::1019. ,2001. .
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4
Baumhauer JF, Wervey R, McWilliams J, et al: A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and prefabricated pneumatic walking brace. .Foot Ankle Int 18::26. ,1997. .
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5
Frykberg RG, Lavery LA, Pham H, et al: Role of neuropathy and high foot pressures in diabetic foot ulceration. .Diabetes Care 21::1714. ,1998. .
-
6
Boulton AJ, Betts RP, Franks CI, et al: Abnormalities of foot pressure in early diabetic neuropathy. .Diabet Med 4::225. ,1987. .
-
7
Boulton AJ, Betts RP, Franks CI, et al: The natural history of foot pressure abnormalities in neuropathic diabetic subjects. .Diabetes Res 5::73. ,1987. .
-
8
Boulton AJ, Betts RP, Newrick PG, et al: Foot pressure abnormalities: a sensitive marker of early sensory neuropathy. .Diabetes 12: (suppl 1):35. ,1986. .
-
9
Boulton AJ, Hardisty CA, Betts RP, et al: Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy. .Diabetes Care 6::26. ,1983. .
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10
Boulton AJM: “The Importance of Abnormal Foot Pressure and Gait in Causation of Foot Ulcers,” in The Foot in Diabetes, ed by CH Boulton, AJM Ward, p 11, John Wiley and Sons, Chichester, England, 1987..
-
11
Knowles EA, Boulton AJ: Do people with diabetes wear their prescribed footwear. ?Diabet Med 13::1064. ,1996. .
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12
Armstrong DG, Abu-Rumman PL, Nixon BP, et al: Continuous activity monitoring in persons at high risk for diabetes-related lower-extremity amputation. .JAPMA 91::451. ,2001. .
Technique for Fabrication of an “Instant Total-Contact Cast” for Treatment of Neuropathic Diabetic Foot Ulcers
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Addressing pressure reduction in the treatment of diabetic foot wounds is a critical component of therapy. The total-contact cast has proven to be the gold standard of treatment because of its ability to reduce pressure and facilitate patient adherence to the off-loading regimen. Removable cast walkers have proven to be as effective as total-contact casts in pressure reduction, but this has not translated into equivalent time to healing. A simple technique to convert the removable cast walker into a device that is not as easily detached from the lower extremity, thereby encouraging the use of this device over a 24-hour period, is presented in this article. The procedure involves wrapping the cast walker with cohesive bandage or plaster of Paris. In the authors’ opinion, this technique addresses many of the disadvantages of the total-contact cast, resulting in an adequate compromise in this aspect of care. (J Am Podiatr Med Assoc 92(7): 405-408, 2002)
