TY - JOUR T1 - Total contact casts were better than removable cast walkers or half shoes for healing diabetic neuropathic foot ulcers JF - Evidence Based Nursing JO - Evid Based Nurs SP - 15 LP - 15 DO - 10.1136/ebn.5.1.15 VL - 5 IS - 1 A2 - , Y1 - 2002/01/01 UR - http://ebn.bmj.com/content/5/1/15.abstract N2 - Armstrong DG, Nguyen HC, Lavery LA, et al. Off-loading the diabetic foot wound: a randomized clinical trial.Diabetes Care2001 Jun;24:1019–22OpenUrlAbstract/FREE Full Text QUESTION: In patients with diabetes, what is the effectiveness of total contact casts (TCCs), removable cast walkers (RCWs), and half shoes for healing neuropathic foot ulcerations? Randomised {allocation concealed}*, unblinded, controlled trial with up to 12 weeks of follow up.USA.75 patients with diabetes who had clinically significant loss of protective sensation (>25 V) as measured with a biothesiometer, ≥1 palpable foot pulse or a transcutaneous oximetry measurement > 40 mm Hg at the dorsum of the fore foot, and a superficial neuropathic plantar diabetic foot ulcer corresponding to grade 1A (University of Texas Diabetic Wound Classification System). Exclusion criteria were active infection; wounds in locations on the heel, rear foot, or area other than the plantar aspect of the foot; severe peripheral vascular … ER -