Off-loading total contact cast in combination with hydrogel and foam dressing for management of XXXX of the foot.

@entity1 @entity5109 @entity6 @entity1066 @entity281 @entity79 @entity6227 @entity1411
BACKGROUND: The total contact cast is considered to be an effective method of off-loading a @entity6227 . However complications have been reported in 1 to 15% of cases, e.g. prolonged healing of the @entity1066 . Debridement with modern dressings has been reported to be effective in promoting wound healing; however there have been few reported studies of the combination of modern dressings with the cast. OBJECTIVE: To evaluate the effectiveness of a combination of treatments on healing rates in @entity6 of the foot. MATERIAL AND METHOD: This retrospective study with prospective data collection was conducted between September 2010 and August 2012. Twenty @entity6 @entity1 with @entity1411 were treated using a combination of a contact cast plus hydrogel andfoam dressings. The size and location of the @entity1066 , @entity1066 , @entity5109 were evaluated. RESULTS: Of 21 @entity1066 , 20 (95.2%) healed completely in a mean time of 30.1 days (range 14 to 70 days). Healing times for forefoot and midfoot @entity1066 were 22.6 and 26.8 days, respectively, which is significantly shorter than the 51.7 days for heel @entity1066 . One @entity1 who had an unhealed @entity1066 developed a severe @entity281 two months after treatment, which necessitated below the knee amputation. There were three cases of recurrence of the @entity1066 after casting. CONCLUSION: Off-loading casting combined with modern dressings had a high rate of healing in short-term treatment of @entity6227 . Recurrence of @entity1066 and new site abrasions were common complications; those complications may have been caused by association with @entity79 or improper footwear.
