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I have a patient 42 years old with a charcot foot and associated plantat pressure related ulcer sub MT 2-4 right foot.Dimensions are 2.5x2.0x.1 inches.It is not draining,no cellulitis,edema or tunneling is present.I am going to put her into an instant total contact cast:1.Above knee walking boot.2.Coban to wrap it up to FORCE compliance.Naturally,a dispersion pad will be applied,the ulcer will be debrided and bony prominences will be well padded.Does anyone have any pearls about this?What from I have read,this is just as good as the TCC without the labor intensive features of the latter.Any advice given here would be helpful to both my patient and I.
Instant total contact cast
Linear Mode
