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1. A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers.

Author

Katz IA, Harlan A, Miranda-Palma B, Prieto-Sanchez L, Armstrong DG, Bowker JH, Mizel MS, and Boulton AJ

Subjects
Adult, Aged, Diabetic Neuropathies therapy, Equipment Design, Female, Humans, Male, Middle Aged, Perception, Tibial Neuropathy therapy, Time Factors, Treatment Outcome, Vibration, Casts, Surgical, Diabetic Foot therapy, Weight-Bearing
Abstract

Objective: The purpose of this study was to compare the effectiveness of a removable cast walker (RCW) rendered irremovable (iTCC) with the total contact cast (TCC) in the treatment of diabetic neuropathic plantar foot ulcers., Research Design and Methods: In a prospective, randomized, controlled trial, 41 consecutive diabetic patients with chronic, nonischemic, neuropathic plantar foot ulcers were randomly assigned to one of two groups: a RCW rendered irremovable by wrapping it with a single layer of fiberglass casting material (i.e., an iTCC) or a standard TCC. Primary outcome measures were the proportion of patients with ulcers that healed at

Published
2005
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