Comparison of Posterior Slab Cast With Total Contact Cast in the Management of Diabetic Foot Ulcers

ILS Hospital, Salt Lake99 enrolled

Overview

The goal of this clinical trial is to compare wound healing and foot related outcomes in people with plantar diabetic foot ulcer using Total contact cast (TCC) or Posterior slab cast (PSC). Ninety-nine people with neuropathic DFUs were randomized to use TCC (n=51) or PSC (n=48) together with standard of care for up to 6 months. Researchers will compare rate of healing of ulcer at the end of 6 months, percentage reduction in the surface area, time taken to heal and patient satisfaction. Participants will: * Use TCC or PSC as off-loading till the ulcer heals for upto 6 months * Visit the clinic once every 2 weeks for follow ups when inspection of the wound will be done for wound dressing, wound debridement and infection control when necessary

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Diabetic Foot Ulcer (DFU)Offloading

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * People with diabetes * a single neuropathic plantar DFU * Ulcer belonging to Wagner grade 2 and 3 Exclusion Criteria: * Persons with bilateral DFUs * gout * peripheral arterial disease (ABPI \<0.8) * stage 4 and 5 chronic kidney disease \[estimated glomerular filtration rate (eGFR) \<30 ml/min/m2\] * active Charcot arthropathy * history of steroid intake within the past 3 months

Outcomes

Primary Outcomes

The primary outcome measure in this study was healing of the ulcer at 6 months.

We compared the rate of healing of ulcers and time taken to heal.

Time frame: 6 months

Secondary Outcomes

The secondary outcome measure was the rate of wound size reduction at 4 weeks and patient satisfaction.

Healing rates will be measured by the percentage of ulcers healed or wound closure, based on clinical assessment and standardized wound measurement techniques (i.e., wound area reduction). Patient satisfaction was measured using the Likert scale 1-5 (1= very dissatisfied, 5=very satisfied).

Time frame: 6 Months