Application of the Ambulatory Total Contact Cast (TCC)

This video clip shows University of Arizona's renowned SALSA team (http://diabeticfootonline.com/) applying an ambulatory total contact cast TCC to a diabetic foot wound

Category:

Film & Animation

Tags:

• CLEARcast
• podiatry
• SALSA
• University
• Arizona
• scholl
• CLEAR
• wound
• diabetes
• cast
• total
• contact
• heal
• medicine
• amputation
• armstrong

[clearscpm]

Sam: We use a minimal amount of padding for the reasons you note.

[clearscpm]

Jay: Many thanks for the note. There are no doubt many modifications to the TCC. This one is a variant of the classical Carville cast. The only padding is over the tibia and malleoli to allow for a site for its removal. The distal padding is to prevent anything from getting in the cast as well as allowing protection from any pistoning distally. This technique has been used in at least three randomized trials to date.

Cheers, -DGA

[megagiant14]

I am looking into being an orthopedist but I have no clue what those terms he used mean I am only 12 but could you still explain the terms he used

[scottpop11]

take this is not a WB cast because there is no padding over the lateral side or over the heel

[kingortopedia]

@333tommyboy333 how do you do the TCC

[333tommyboy333]

deffinately overdone... the way we do it is much simpler.

[lilrizeey]

Iv done about 20000 tcc myself .Theese guys make it look way harder than it is.

[sam56n]

Thanks for the video Dr. Armstrong; as far as dressing the plantar ulcers, do you use the same amount of padding/dressing when using a TCC or you try to minimize it for the sake of a better/more even weight distribution,

Thanks,

Sam

[Blacksunshine636]

Thanks for the reply. I'll will have to look in to this.

Jay

[Blacksunshine636]

Since when did this style of cast become a "total contact cast". I used to do these about ten years ago and then a "Total Contact Cast" was plaster over stockinet, with very little padding. The plaster worked as an absorbant dressing.

How is this benificial over a regular short leg walking cast?

Thanks,

Jay