Current Concepts In Total Contact Casting For DFUs
These statements resonate the importance of this modality. We should not wait to use a TCC for the “train wreck” case as this too frequently leads to failure. We use the TCC as the first line of treatment in the office, even on new patients. Frequently, the small “simple” ulcers heal in just a couple weeks and patients are thrilled to have a wound healed that they had for months prior to their appointment. They quickly give up on protesting the cast after the first cast change when they find out the reduced measurement of the wound. Ultimately, the goal is to treat the neuropathic ulcer in a timely fashion to save limbs and save lives.
Dr. Jaakola is in private practice at the Diabetic Foot and Wound Center in Denver. He is a Fellow of the American College of Foot and Ankle Surgeons.
Dr. Weber is in private practice at the Diabetic Foot and Wound Center in Denver.