Total Contact Casting

[krabmas]

any one know the 7(ish) principles of total contact casting?

(this is not a pimp question). I have been searching pubmed and google and can not find anything close to the answer. I cannot go to the wound care clinic until I find the answer and I have to go Friday. Please help.

I know that there is little padding (close proximity to skin). now I am at a loss.

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[106312]

we never learned a list of 7(ish) things to memorize, check your class notes?

well-molded, minimally padded
maintains contact with the entire plantar aspect of the foot and lower leg
pressure is transmitted along the cast wall or to the rearfoot (reduces forefoot pressure)
contraindicated for infected wounds
may protect the wound from contamination/infection
the patient can't easily remove it, better adherence

risk of ulceration in other areas, esp malleoli, if improperly applied
can't assess wound on daily basis
difficult to sleep in, bathe with, walk with (stability issues)

 

[krabmas]

we never learned a list of 7(ish) things to memorize, check your class notes?

well-molded, minimally padded
maintains contact with the entire plantar aspect of the foot and lower leg
pressure is transmitted along the cast wall or to the rearfoot (reduces forefoot pressure)
contraindicated for infected wounds
may protect the wound from contamination/infection
the patient can't easily remove it, better adherence

risk of ulceration in other areas, esp malleoli, if improperly applied
can't assess wound on daily basis
difficult to sleep in, bathe with, walk with (stability issues)

thanks for the list. I'd love to check my class notes but they are in NY and I am in CO. will you pay for my flight (JK).

what class would that be anyway? dieabetes 101? we did not have that