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Impact of Total Contact Plaster Boot via off Loading Practice in Trophic Ulcers of the Feet: Case Series

Case report

Abstrak

Ulser trofik telah muncul sebagai satu daripada komplikasi utama diabetis mellitus dan penyakit Hansen. Dalam kes bersiri ini, kesan penyembuhan ulser trofik menggunakan ‘but plaster bersentuhan penuh’ yang diperbuat daripada plaster Paris dikaji ke atas 10 subjek. Seramai lima subjek adalah pesakit diabetis mellitus manakala lima subjek lagi adalah pesakit penyakit Hansen. Saiz luka ulser sebelum dan selepas rawatan ‘but plaster bersentuhan penuh’ diukur sebagai hasil kajian. Kesemua 10 subjek menunjukkan pengurangan saiz luka selepas 15 hari penggunaan ‘but plaster bersentuhan penuh’. Tiada kesan mudarat dikaitkan dengan rawatan ini. Pesakit dengan ulser trofik boleh menerima faedah daripada rawatan ‘but plaster bersentuhan penuh’.

Abstract

Trophic ulcers have emerged as one of the major complications following diabetes mellitus (DM) and Hansen’s diseases (HD). In this case series, the study attempted total contact plaster boot using a readily available plaster of Paris to treat trophic ulcer for 10 subjects. A total of five subjects with DM and five subjects with HD were included based on the study criteria. Pre and post test measure of wound measurement size following total contact plaster boot were taken as an outcome measure. All ten subjects showed decrease in size of wound following fifteen days of treatment. No adverse effects were associated with this type of treatment. Subjects with trophic ulcer may benefit from the application of total contact plaster boot.