Total contact casting for diabetic foot ulcers treatment

a literature review

Authors

  • Alexandre Leme Godoy dos Santos Universidade de São Paulo
  • Túlio Diniz Fernandes Universidade de São Paulo
  • Ana Carla Tolentino Universidade Federal do Rio de Janeiro
  • Maria Candida Parisi Universidade Estadual de Campinas
  • Rafael Trevisan Ortiz Universidade de São Paulo
  • Ana Lúcia Lei Munhoz Lima Universidade de São Paulo

Keywords:

Diabetic foot/therapy, Wound healing, Combined modality therapy, Casts, surgical

Abstract

Diabetes prevalence is 8.1% in the South and Central American population. Diabetic foot ulcers (DFU) and Charcot neuroarthropathy (CN) are important complications resulting from neuropathy of the diabetic foot. One of the biggest effects of the global diabetes epidemic, besides the devastating health consequences for people with diabetes, is its economic impact. Diabetes complications are causing economic havoc to those living with the disease, their families and ultimately whole countries, threatening economic development. On this scenario, foot off-loading is considered an essential part of adequate treatment associated with the management of glycemia control, peripheral arterial disease control, infection control and with tissues debridement. Therefore, it becomes important perform a review of literature evidence-based about using off-loading for treatment of DFU. The purpose of this article is to highlight the evidence-based literature on offloading the DFU with Total Contact Casting (TCC) demonstrating why it should be integrated into the standard of care of DFUs in Brazil and Latin America.

Author Biographies

Alexandre Leme Godoy dos Santos, Universidade de São Paulo

Department of Orthopedics and Traumatology, Faculdade de Medicina, São Paulo, SP, Brazil.

Túlio Diniz Fernandes, Universidade de São Paulo

Department of Orthopedics and Traumatology, Faculdade de Medicina,  São Paulo, SP, Brazil.

Ana Carla Tolentino, Universidade Federal do Rio de Janeiro

Postgraduate Program, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Maria Candida Parisi, Universidade Estadual de Campinas

Endocrinology Service, Universidade Estadual de Campinas, Campinas, SP, Brazil.

Rafael Trevisan Ortiz, Universidade de São Paulo

Department of Orthopedics and Traumatology, Faculdade de Medicina, São Paulo, SP, Brazil.

Ana Lúcia Lei Munhoz Lima, Universidade de São Paulo

Infection Section, Orthopedics and Traumatology Department, São Paulo, SP-Brazil.

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Published

2015-06-23

How to Cite

Santos, A. L. G. dos, Fernandes, T. D., Tolentino, A. C., Parisi, M. C., Ortiz, R. T., & Lima, A. L. L. M. (2015). Total contact casting for diabetic foot ulcers treatment: a literature review. Tobillo Y Pie, 7(1), 62–66. Retrieved from https://jfootankle.com/tobilloypie/article/view/1460

Issue

Section

Review