Off-loading of hindfoot and midfoot neuropathic ulcers using a fiberglass cast with a metal stirrup

Foot & Ankle International
Eran TamirMatityahu Nof

Abstract

This study was designed to assess the effectiveness of a method of off-loading large neuropathic ulcers of the hindfoot and midfoot. The device used is composed of a fiberglass cast with a metal stirrup and a window around the ulcer. A retrospective study of 14 diabetic and nondiabetic patients was performed. All had chronic plantar hindfoot or midfoot neuropathic ulcers that failed to heal with conventional treatment methods. A fiberglass total contact cast with a metal stirrup was applied. A window was made over the ulcer to allow daily ulcer care. The average duration of ulcer before application of the metal stirrup was 26 + 13.2 (range 7 to 52) months. The ulcer completely healed in 12 of the 14 patients treated. The mean time for healing was 10.8 weeks for midfoot ulcers and 12.3 weeks for heel ulcers. Complications developed in four patients: three developed superficial wounds and one developed a full-thickness wound. In three of these four patients, local wound care was initiated, and the stirrup cast was continued to complete healing of the primary ulcer. A fiberglass cast with a metal stirrup is an effective off-loading device for midfoot and hindfoot ulcers. It is not removable and does not depend on patient complianc...Continue Reading

References

Oct 1, 1982·Journal of the American Podiatry Association·A J KalkerJ W Cavuoto
Jun 1, 1996·Foot & Ankle International·J S Early, S T Hansen
Feb 2, 1999·Journal of the American Podiatric Medical Association·D G Armstrong, S Stacpoole-Shea
May 26, 2001·Diabetes Care·D G ArmstrongL B Harkless
Jul 28, 2001·Foot & Ankle International·H D HartsellC L Saltzman
Jul 24, 2002·Foot and Ankle Clinics·T Uroskie, L Colen
Nov 29, 2005·Foot & Ankle International·Gregory P Guyton
Apr 21, 2006·Foot & Ankle International·Donna GoodridgeJohn M Embil

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Citations

Feb 8, 2014·Journal of the American Podiatric Medical Association·Thomas HahnJohannes Pauser
Sep 6, 2015·Diabetes/metabolism Research and Reviews·S A BusUNKNOWN International Working Group on the Diabetic Foot
Apr 18, 2018·The Journal of Bone and Joint Surgery. American Volume·Andrew Dodd, Timothy R Daniels
Nov 21, 2019·The International Journal of Lower Extremity Wounds·Kaissar Yammine, Chahine Assi
Jun 12, 2020·The International Journal of Lower Extremity Wounds·Kaissar Yammine, Chahine Assi
Jun 20, 2020·The International Journal of Lower Extremity Wounds·Eran TamirAharon S Finestone
Dec 20, 2018·Foot & Ankle Specialist·Kaissar YammineChahine Assi
Oct 24, 2020·Journal of Diabetes Science and Technology·Dirk Hochlenert, Claudia Fischer
Mar 28, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Kaissar Yammine, Chahine Assi
Jul 18, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Keisuke ShimboKazunori Yokota
Feb 10, 2022·Foot & Ankle International·Ahmed Al KhalifaTimothy R Daniels

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