Document Detail

Plantar pressure measurements during ambulation in weightbearing conventional short leg casts and total contact casts.
MedLine Citation:
PMID:  8863024     Owner:  NLM     Status:  MEDLINE    
Total contact casts have been shown to be effective in healing plantar neuropathic ulcerations. The proposed mechanism of action is reduction of pressure over the ulcer during ambulation. However, there is little information to support this contention. Plantar pressure distribution was studied using standard short leg casts and total contact casts in normal feet. Both types of casts reduced forefoot pressure in study subjects. This occurred because of an increase in plantar surface area exposed to weightbearing forces. While increased force was shifted to the midfoot, there was no increase in pressure due to a corresponding increase in midfoot surface area exposed to this force. No significant difference was noted between standard short leg casts and total contact casts.
S F Conti; R L Martin; E R Chaytor; C Hughes; L Luttrell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  17     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-01-16     Completed Date:  1997-01-16     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  464-9     Citation Subset:  IM    
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MeSH Terms
Analysis of Variance
Biomechanical Phenomena
Casts, Surgical*
Foot / anatomy & histology,  physiology*
Reference Values
Walking / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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