Tag: TCC

From Plaster to Pixels: The Evolution of Offloading in the Diabetic Foot #ActAgainstAmputation @DiabetologyMdpi @ALPSLimb @KeckSchool_USC @USC_Vascular @NIDDKGov @ResearchatUSC

Our new paper is out today in Diabetology, and I'm really proud of this one. It's a narrative review—co-authored with Bijan Najafi and Shervanthi Homer-Vanniasinkam—that traces the entire arc of offloading from the 1930s to right now. We called it "From Plaster to Pixels" because that's genuinely what's happened. From plaster-of-Paris casts in leprosy clinics... Continue Reading →

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The Back Slab Steps Forward: When ‘Good Enough’ Beats the Gold Standard — Results of an RCT on TCC vs. Posterior Splint #ActAgainstAmputation #Offloading #DiabeticFoot

There's a moment in most engineering disciplines when you have to confront an uncomfortable truth: the "best" solution on paper isn't always the best solution in the field. NASA learned this with the Space Shuttle — a magnificent machine that required 25,000 people and six months to turn around between flights. The Saturn V, by... Continue Reading →

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Total-Contact Casts: Healing Ulcers Fast—with Remarkably Low Reported Thrombosis Risk #ActAgainstAmputation @ResearchatUSC @ALPSlimb #Offloading

While total-contact casts (TCCs) remain, along with other irremovable devices the gold standard for off-loading diabetic foot ulcers in people who can tolerate them, concerns about immobility and venous thrombosis have lingered. Our recent systematic review found surprisingly low rates of deep venous thrombosis (DVT) in patients treated with TCCs—only 1 in 136 cases (~0.7%),... Continue Reading →

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Metagenomics of Diabetic Foot Ulcer Undergoing Treatment with Total Contact Casting (TCC) @USC_vascular @USC @ALPSlimb @CosmosID

This initial look into what may be a routine survey of metagenomic data from week to week. Led by FASMA's Adam Isaac, CosmosID's (National Science Foundation Director Emerita) Prof. Rita Colwell and our team. Objective: Diabetic foot ulcers (DFUs) are characterised by the presence of many microbes, some of which may not be identified by traditional... Continue Reading →

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Personalized Offloading Treatments for Healing Plantar Diabetic Foot Ulcers @alpslimb #DiabeticFoot #ActAgainstAmputation @NIDDK

Important and subtle work from Gustav Jarl and coworkers in Sweden and Australia. It speaks to the trend to be doing things with our patients and not to them. Background: Non-removable knee-high devices are the gold-standard offloading treatments to heal plantar diabetic foot ulcers (DFUs). These devices are underused in practice for a variety of reasons.... Continue Reading →

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Offloading treatment in people with diabetic foot disease: A systematic scoping review on adherence to foot offloading @ALPSLimb #ActAgainstAmputation

This from our colleagues at Charing Cross Hospital. Offloading treatment in people with diabetic foot disease: A systematic scoping review on adherence to foot offloading Highlights A review of adherence to offloading treatment for people with diabetes and foot disease.• Adherence to offloading treatment is influenced by biological and psychosocial factors.• Abnormal gait and postural... Continue Reading →

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