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عمومی::
گچ های غیر قابل برداشتن (TCC)
Lin et al.60 reported on a cohort of patients with diabetic foot ulcers that failed to heal after a period of immobilization via a total contact cast (TCC).
Using the Achilles lengthening procedure, 93% of patients (14/15) healed in an average of 39 days with no ulcer recurrence in the subsequent 17 months.60 In a randomized clinical trial, Mueller compared neuropathic ulcer healing in patients using the same pro- cedure versus TCC immobilization.61 Ulcers healed in all of the patients who underwent surgery (n = 31) as compared with 88% (n = 33)
of patients in the TCC group.
Patients with Achilles lengthening had less than half the incidence of ulcer recurrence (31% vs. 81%) compared with patients in the TCC group.61
Total contact cast
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