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Foot ulcers are a major concern for diabetics especially if not detected early or left untreated for long. Diabetes leads to nerve damage and poor blood circulation therefore, foot injuries are often painless. This is why they are often left untreated and eventually may lead to severe foot ulcers in due course necessitating amputation in extreme cases.

Research background


A recent research into the diabetic foot ulcers revealed that TCC or total contact casts can effectively heal diabetic related foot ulcers in comparison to dressing alone or for that matter removable casts. The study was published in The Cochrane Collaboration® and announced by a pharmaceutical and medical device company focused on advanced wound care. The study was authored by Allyson Lipp and Jane Lewis. Allyson Lipp is affiliated to the University of Glamorgan, Pontypridd, U.K, while Jane Lewis is affiliated to Cardiff and Vale Univerisity, Cardiff, U.K. The trials included a total of 709 patients and data from 14 trials was examined.


The study titled “Pressure-relieving interventions for treating diabetic foot ulcers” authored by Jane and Lipp (2013) shows that between two treatment strategies, dressing and removal casts on one hand and pressure relieving, non-removable casts on the other hand, the latter treatment strategy that uses pressure relieving, non-removable casts was found to be more effective.

Further between non-removable casts alone and non-removable casts in combination with Achilles tendon lengthening, the latter was found to be a more successful treatment strategy. In other words non-removable devices are better as a treatment strategy in comparison to other external pressure relieving strategies.