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Diabetes Care, Vol 9, Issue 2 149-152, Copyright © 1986 by American Diabetes Association

ARTICLES

Use of plaster casts in the management of diabetic neuropathic foot ulcers

AJ Boulton, JH Bowker, M Gadia, R Lemerman, K Caswell, JS Skyler and JM Sosenko

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.
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Copyright © 1986 by the American Diabetes Association.