Total Contact Casting (TCC) and Neuropathic Ulcers. A Case Study

One of the most complications of Diabetes is diabetic wound and neuropathic foot ulcers. In treatment of these ulcers we use dressing and the key element is take weight off of the foot (off-loading). In this case study we use TCC to treatment a neuropathic chronic ulcer. In this study a ۶۵ years old man with chronic ulcer in left foot from ۱۸ months ago after forefoot amputations (image No.۱). The medical history of patient was DM, ESRD, HTN, and Neuropathy. At the first vascular surgeon visit the patient and then we achieved ulcer culture that results was negative. The size of ulcer was ۴*۲*۰.۲ cm and the edge of ulcer was round, detriments the edge and use Collagen dressing with Foam. After that we use TCC in ۲ sections of ۱۴ days. According the result of study at the first the size of ulcer was ۴*۲*۰.۲ cm. in ۲۸ days the ulcer has been healed after ۲ section of TCC.TCC is applicable in daily practice in a wide range of patients with neuropathic ulcers in clinic situation without especial device, with good healing rates, relative few major complications and reduce the cost.

کلیدواژه ها:

TCC ، Chronic wound ، Diabetic foot