Use of plaster casts in the management of diabetic neuropathic foot ulcers.
Neuropathic foot ulceration is a major medical and economic problem among diabetic patients, and the traditional treatment involves bed rest with complete freedom from weight-bearing. We have investigated the use of walking plaster casts in the management of seven diabetic patients with long-standing, chronic plantar ulcers. Although all ulcers healed in a median time of 6 wk, this therapy was not without side effects, which are described in detail. We conclude that casting is a useful therapy for neuropathic ulcers, although several clinic visits, including cast removal and foot inspection, are necessary to avoid potential side effects caused by the casting of insensitive feet.
Boulton
A J
AJ
Bowker
J H
JH
Gadia
M
M
Lemerman
R
R
Caswell
K
K
Skyler
J S
JS
Sosenko
J M
JM
D000328:Adult; D002370:Casts, Surgical / Q000009:adverse effects; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D005534:Foot Diseases / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012883:Skin Ulcer / Q000209:etiology / Q000628:therapy*