Published Literature
Diabetes Care
"Off-Loading the Diabetic Foot Wound"
By David G. Armstrong, DPM; Hienvu C. Nguyen, DPM; Lawrence A. Lavery, DPM, MPH; Carine H.M. van Schie, PHD; Andrew J.M. Boulton, MD; and Lawrence B. Harkless, DPM
This article was published in the June 2001 issue of Diabetes Care. The authors present a randomized clinical trial to compare the effectiveness of total contact casts (TCCs), removable cast walkers (RCWs), and half-shoes to heal neuropathic foot ulcerations in individuals with diabetes. The trial concluded that the TCC seems to heal a higher proportion of wounds in a shorter amount of time than 2 other widely used off-loading modalities, the RCW and the half-shoe.
Podiatry Today
A Helpful Primer on Total Contact Casts
By Jeffrey Jensen, DPM; Anna Weber, DPM; Eric Jaakola, DPM; and Matthew Dairman, DPM
This article was published in the August 2003 issue of Podiatry Today. The authors present their own experience in wound healing using the gold standard of care, total contact casts. The application and removal guidelines clearly demonstrate the procedure of casting with the MedE-Kast Total Contact Cast System.
Podiatry Management
"Physicians and Staff Time Efficiency in Total Contact Cast Application"
By Jeffrey Jensen, DPM and Eric Jaakola, DPM
This article was published in the June/July 2004 issue of Podiatry Management. The authors describe the proper techniques of total contact cast application and demonstrate that clinicians can apply a total contact cast in an average of 7.5 minutes.
The New England Journal of Medicine
"Neuropathic Diabetic Foot Ulcers"
By Andrew J. Boulton, MD; Robert S. Kirsner, MD; and Loretta Vileikyte, MD
This article was published in July 2004 in The New England Journal of Medicine. The authors present the clinical problem of foot ulcers, assessment and diagnosis, management and preparation of the wound bed, treatment of infection, and adjunctive treatments, as well as guidelines and recommendations for care. The authors recommend the use of a total contact cast to ensure compliance with pressure reduction.
Diabetes Care
"Total Contact Casting of the Diabetic Foot in Daily Practice"
By Marrigje H. Nabuurs-Franssen, MD; Ron Sleegers; Maya SP Huijberts, MD, PHD; Wiel Wijnen; Antal P. Sanders, MD, PHD; Geert Walenkamp, MD, PHD; and Nicolaas C. Schaper, MD, PHD
This article was published in the February 2005 issue of Diabetes Care. The authors present a prospective data collection study to assess the outcomes and complications of TCC treatments in neuropathic patients with and without peripheral arterial disease (PAD) or (superficial) infection.
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