Sinacore D R, Mueller M J, Diamond J E, Blair V P, Drury D, Rose S J
Department of Anatomy, School of Medicine, West Virginia University, Morgantown 26505.
Phys Ther. 1987 Oct;67(10):1543-9. doi: 10.1093/ptj/67.10.1543.
The purpose of this clinical report is to describe the healing times of plantar ulcers treated by total contact casting (TCC) in nondiabetic and diabetic patients with and without evidence of severe peripheral vascular disease. Thirty patients with 33 chronic plantar ulcers were treated by applying total contact walking casts. Results demonstrate that 27 of 33 ulcers (81.8%) healed in an average time of 43.6 days. Healing times of patients with severe peripheral vascular disease secondary to diabetes mellitus are similar to those of patients without evidence of vascular disease. These results indicate that TCC is an effective and rapid treatment for chronic plantar ulcers in patients with or without vascular compromise secondary to diabetes mellitus. In addition, the results suggest that pressure reduction on the insensitive foot should be considered in treatment.
本临床报告的目的是描述在无糖尿病和有糖尿病的患者中，无论有无严重外周血管疾病证据，采用全接触石膏固定（TCC）治疗足底溃疡的愈合时间。30例患者的33处慢性足底溃疡采用全接触步行石膏进行治疗。结果表明，33处溃疡中有27处（81.8%）平均在43.6天内愈合。继发于糖尿病的严重外周血管疾病患者的愈合时间与无血管疾病证据的患者相似。这些结果表明，TCC对于有或无继发于糖尿病的血管损伤的患者的慢性足底溃疡是一种有效且快速的治疗方法。此外，结果提示在治疗中应考虑减轻感觉迟钝足部的压力。
