Advanced Wound Modalities Options for Complex, Chronic Wounds
Advanced Wound Modalities Options for Complex, Chronic Wounds
Advanced Wound Modalities Options for Complex, Chronic Wounds
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Total Contact Casting:<br />
Advantages and Disadvantages<br />
• Messy<br />
• Relatively easy to apply with proper training<br />
• Cannot be easily removed<br />
• Off-loads pressure<br />
– It has been said that each step on a diabetic<br />
foot wound increases healing time by 2<br />
weeks<br />
• Applied in office setting<br />
• Covered by most insurances<br />
• Allows patient to ambulate short<br />
distances and keep excessive pressure<br />
from occurring at the wound<br />
• Can be time consumming to apply<br />
• Patient must wait 20 minutes to allow cast<br />
to harden<br />
• If improperly applied, can actually increase<br />
pressure<br />
– Must evaluate <strong>for</strong> PVD or can increase<br />
ischemia<br />
• Not easy to remove (must use cast saw)<br />
• Can not get wet<br />
• May increase walking<br />
– Pt feels it is ok to walk more since foot is in<br />
special cast<br />
• Cannot be used with active infection
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