EFFECTIVENESS OF TOTAL CONTACT CASTING IN LEPROTIC Vs DIABETIC PLANTER FOOT ULCER: A COMPARATIVE STUDY

Abstract

Total Contact Casting (TCC) has been identied as 'Gold Standard' treatment approach by ofoading in neuropathic foot ulceration, a very common but notorious complication of Leprosy & Diabetes. Here we tried to compare its efcacy in diabetic & leprotic foot ulcer. AIMS & OBJECTIVES: 1. To observe the outcomes of TCC in Leprotic & Diabetic planter ulcer. 2. To compare the effectiveness of TCC in these two conditions. STUDY DESIGN: Prospective analytical study SAMPLE SIZE: n= 24 (12 diabetic & 12 Hansen's) STUDY DURATION: 12 months. STUDY PLACE: Dept of PMR; IPGMER & SSKMH, Kolkata INCLUSION CRITERA: 1. Unilateral solitary Grade 1 & 2 planter ulcerations (Wagner classication). 2. Age: 20-60 years. 3. Ambulatory patients. EXCLUSION CRITERIA: 1. Grade-3/4/5 planter ulcerations 2. Excessive leg or foot swelling. METHODS & MATERIALS:At rst, ulcers were debrided of all necrotic-tissue to create a smooth surface. Then after proper positioning, over a small amount of cotton padding, the cast was applied covering the toes up to 2 cm distal to bular head with a rocker sole for ofoading. ASSESSMENT: st rd th Assessment was done in consecutive 3 visits at the end of 1 /3 /6 week comparing the size, depth, downgrading of Wagner classication & time taken for complete ulcer healing. CONCLUSION: Overall healing in both groups was very good with TCC with no statistically signicant improvement difference