Boulton A J, Bowker J H, Gadia M, Lemerman R, Caswell K, Skyler J S, Sosenko J M
Diabetes Care. 1986 Mar-Apr;9(2):149-52. doi: 10.2337/diacare.9.2.149.
Neuropathic foot ulceration is a major medical and economic problem among diabetic patients, and the traditional treatment involves bed rest with complete freedom from weight-bearing. We have investigated the use of walking plaster casts in the management of seven diabetic patients with long-standing, chronic plantar ulcers. Although all ulcers healed in a median time of 6 wk, this therapy was not without side effects, which are described in detail. We conclude that casting is a useful therapy for neuropathic ulcers, although several clinic visits, including cast removal and foot inspection, are necessary to avoid potential side effects caused by the casting of insensitive feet.
神经性足部溃疡是糖尿病患者面临的一个重大医学和经济问题，传统治疗方法包括卧床休息，完全不负重。我们研究了使用行走石膏固定法治疗7例患有长期慢性足底溃疡的糖尿病患者。尽管所有溃疡在中位时间6周内愈合，但这种治疗并非没有副作用，本文将详细描述这些副作用。我们得出结论，石膏固定法是治疗神经性溃疡的一种有效疗法，不过需要多次门诊就诊，包括拆除石膏和检查足部，以避免因给感觉迟钝的足部使用石膏而产生潜在副作用。
