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  1. Offloading the neuropathic foot is the cornerstone of diabetic wound management, and the total contact cast (TCC) has been recognized as the “gold standard” for treatment for decades. 2-7 The success of the TCC has been attributed to its ability to “unload” the plantar foot and maintain immobilization by the non-removable cast.

  2. TCC-EZ® Total Contact Cast System. The ease of the market leading TCC-EZ® makes its use practical in clinical settings. TCC-EZ offers a one-piece, roll-on, light weight, woven design that is faster and easier than traditional systems. The ease of application can lead to fewer complications. TCC-EZ® Total Contact Cast System,The ease of the ...

  3. A total contact cast (TCC) is a treatment for foot conditions, such as a diabetic foot ulcer or Charcot foot. The cast reduces pressure on your foot. Applying a total contact cast. It takes about 1 hour to apply the cast to your foot. After it’s applied you need to stay sat down or lying down for 20 minutes.

  4. Feb 1, 2005 · Three total contact casting modalities were used: a nonremovable TCC, a removable TCC (RCC), and a shoe-model cast (SMC) that could not be removed by the patient. These casts were applied using a modification of the technique described by Kominsky ( 13 ), and the choice of cast was based on both patient and cast characteristics ( Fig. 1 ).

  5. The way the total contact cast works is by placing a cast on a leg and lifting the leg so that the foot is elevated off the floor slightly by transferring weight from the plantar surface to the cone of the leg, to the vertical surface of the leg. It's not so much in stabilizing the foot within the cast, although that's very helpful to anything ...

  6. TCC-EZ® Total Contact Cast System. TCC-EZ® is a lightweight, one-piece, roll on, woven total contact cast that offers an easy way to provide the gold standard of care for the management of diabetic foot ulcers. Unique Healing Chamber™ design provides both histological and mechanical benefits by offloading the wound and eliminating shear ...

  7. The total contact cast remains the gold standard for offloading and protection of the neuropathic foot. No prefabricated device is likely ever to match its combination of protection completely from both normal and shear forces, and it approaches as near to a guarantee of patient compliance as any offloading technique can.

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