- Training
- 08/09/2025
- UK
Total Contact Casting for Diabetic Foot Ulcers
Description
Mr Donatas Chlebinskas gives his expert insights and discusses the treatment of plantar diabetic foot ulcers, focusing on total contact casting as the gold standard initial therapy. He emphasizes that after casting, bespoke orthotic insoles are recommended to redistribute pressure and prevent ulcer recurrence. However, he highlights that there is a significant recurrence rate of up to 57% within two years, even with the use of orthotic shoes and regular follow-ups. Mr Chlebinskas concludes by suggesting that surgical intervention to correct underlying deformities and muscle imbalances can greatly decrease the likelihood of recurrence.
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