Can you walk with total contact cast?
Do not walk with your cast or put weight on your casted leg for the first 6 hours after it is put on. Always wear your cast boot when walking. Walk as you usually do: heel to toe, placing the weight on the center of your foot.
How do I do total contact casting?
Apply cast padding in a thin layer up the limb. Apply secondary foam padding over vulnerable areas (inner and outer ankles, over the toes, front of the shin, sides of the cast) Apply the plaster undercoat smoothly to the foot and leg, covering the toes and going up the leg.
What is a total contact cast used for?
A total contact cast is a cast used to treat ulcers (serious, deep sores) on a person’s foot. It consists of a fiberglass or plaster shell with a bar on the bottom. The shell fits around your leg and foot very closely. It follows the shape of your whole foot.
What is TCC wound?
Total contact casting (TCC) is a specially designed cast designed to take weight off of the foot (off-loading) in patients with diabetic foot ulcers (DFUs). Reducing pressure on the wound by taking weight off the foot has proven to be very effective in DFU treatment.
Can you put a cast over an open wound?
IF YOU break your arm, you will probably get a cast to hold the bone in place while it heals. Now there is a similar device for your skin: a bandage that prevents injured skin from deforming as it heals, dramatically reducing scarring.
Who can apply a total contact cast?
A prerequisite is that the foot must have an adequate blood supply, and therefore, the foot must be monitored quite carefully. The cast must be applied by someone who has experience with the applications and use of this cast. The cast must be changed at regular, short intervals of a week or two.
Should a patient with ischemia wear a total contact cast?
The gold standard for offloading is the total contact cast (TCC); yet, TCC use is contraindicated in patients with ischemia. Lower extremity ischemia typically presents in the more severe end stages of peripheral arterial disease (PAD).
How much does a total contact cast cost?
The cost of care per patient when clinicians used a TCC averaged $11,946 (in 2010) whereas the cost per patient without the use of TCC averaged $22,494. A recent consensus report recommended the use of TCC for all appropriate DFUs.
How does total contact cast work on foot?
Total contact casting is done by molding a cast over the entire surface of the foot and part of the leg. A soft layer of foam is placed on the ulcer, and the whole foot is wrapped in bandages prior to the application of the cast.
How is a total contact cast used for diabetics?
What Is a Total Contact Cast? The total contact cast is a specific casting technique that is used to heal diabetic foot ulcers and to protect the foot during the early vulnerable phases of Charcot fracture dislocations. The cast is used to heal diabetic foot ulcers by distributing weight along the entire plantar aspect (sole) of the foot.
When was total contact casting introduced to the US?
In 1965, TCC was introduced to the United States by Dr. Brand, then at the National Hansen’s Disease Center in Carville, Louisiana. The goal of TCC was to distribute weight over the entire foot and lower leg.
What are the advantages of total contact casting?
Total Contact Casting 1 Uses for Total Contact Casting. One of the primary reasons for treating diabetic foot ulcers with total contact casting is offloading, or limiting the use of the foot with the 2 The Total Contact Casting Procedure. 3 Advantages over Other Treatments.