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Original Articles

Use of Plaster Casts in the Management of Diabetic Neuropathic Foot Ulcers

  1. A J M Boulton, M.R.C.P.,
  2. J H Bowker, M.D.,
  3. M Gadia, M.D.,
  4. R Lemerman, R.N.,
  5. K Caswell, B.S.,
  6. J S Skyler, M.D. and
  7. J M Sosenko, M.D.
  1. Division of Endocrinology, University of Miami School of Medicine Miami, Florida
  2. Division of Orthopaedics and Rehabilitation, University of Miami School of Medicine Miami, Florida
  3. Internal Medicine, University of Miami School of Medicine Miami, Florida
  1. Address reprint requests to Jay S. Skyler, M.D., Diabetes-Metabolic Unit (D-1), University of Miami, P.O. Box 016960, Miami, Florida 33101.
Diabetes Care 1986 Mar; 9(2): 149-152. https://doi.org/10.2337/diacare.9.2.149
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Abstract

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 longstanding, 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.

  • Copyright © 1986 by the American Diabetes Association
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March 1986, 9(2)
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Use of Plaster Casts in the Management of Diabetic Neuropathic Foot Ulcers
A J M Boulton, J H Bowker, M Gadia, R Lemerman, K Caswell, J S Skyler, J M Sosenko
Diabetes Care Mar 1986, 9 (2) 149-152; DOI: 10.2337/diacare.9.2.149

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Use of Plaster Casts in the Management of Diabetic Neuropathic Foot Ulcers
A J M Boulton, J H Bowker, M Gadia, R Lemerman, K Caswell, J S Skyler, J M Sosenko
Diabetes Care Mar 1986, 9 (2) 149-152; DOI: 10.2337/diacare.9.2.149
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