A Comparative Study on Healing Of Diabetic Foot Ulcers Using Total Contact Cast Vs Ambulatory Walking Cast Vs Modified MCR Sandals
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Objective:To determine the outcome of diabetic neuropathic ulcer treated using various off-loading device; Total contact cast vs Ambulatory Walking Cast vs modified MCR sandals in terms of percentage of ulcer healed and time taken to heal. Study Design: RCT Place and duration of study is Department of General Surgery, Government Mohan Kumaramangalam Medical College Hospital and Salem. Methodology:The study includes diabetic patients with non-ischaemic neuropathic foot ulcers who were debrided off necrotic tissues and the device applied. The patients were reviewed at 2 to 3 weeks interval till wound healing. The device was considered failure when there was no reduction in ulcer size in 4 consecutive weeks or worsening to a higher grade. Main outcomes were time taken for the ulcer to heal and percentage of ulcer healed by various devices. Results: There were 40 males and 20 females included in this study. The mean age was 45. All patients had diabetic mellitus. In the study conducted,the TCC group has a better healing rate and faster healing time than ambulatory walking cast and modified MCR chappels.
Authors and Affiliations
Dr. A. Sundarambal M. S. , Prof. Dr. C. Rajasekaran M. S. , Dr. B. Ram kumar
Keywords
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