Treatment of chronic plantar ulcer of the diabetic foot using an irremovable windowed fiberglass cast boot: prospective study of 177 patients – Ha Van – Diabetes/Metabolism Research and Reviews – Wiley Online Library.
This intriguing series of 177 patients from Georges Ha Van and coworkers seems to support previous works regarding irremovable offloading– even for those who have combined neuroischemic wounds or those that had removal of osteomyelitis. A 7% complication rate in this very high risk group is really promising.
While our team have been cautious about using windowed casts, this additional experience may continue to cause our opinion to evolve. What do you think?