Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation
Background Free flap reconstruction can be performed in patients with chronic limb-threatening ischemia (CLTI). However, early walking training may increase the risk of wound dehiscence and prolong hospitalization. Total contact cast (TCC) treatment effectively addresses diabetic plantar...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2025-03-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1800813 |
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| author | Yutaro Yamashita Yoshiro Abe Mayu Bando Shunsuke Mima Hiroyuki Yamasaki Shinji Nagasaka Kazuhide Mineda Ichiro Hashimoto |
| author_facet | Yutaro Yamashita Yoshiro Abe Mayu Bando Shunsuke Mima Hiroyuki Yamasaki Shinji Nagasaka Kazuhide Mineda Ichiro Hashimoto |
| author_sort | Yutaro Yamashita |
| collection | DOAJ |
| description |
Background Free flap reconstruction can be performed in patients with chronic limb-threatening ischemia (CLTI). However, early walking training may increase the risk of wound dehiscence and prolong hospitalization. Total contact cast (TCC) treatment effectively addresses diabetic plantar ulcers by immobilizing the foot and distributing weight away from the ulcer area. This study aimed to assess the effect of postoperative TCC use on early limb loading and hospital stay in patients with CLTI with free flaps. |
| format | Article |
| id | doaj-art-002507daf5e84dbb9daee71010e507f6 |
| institution | OA Journals |
| issn | 2234-6163 2234-6171 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-002507daf5e84dbb9daee71010e507f62025-08-20T02:04:31ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712025-03-01520210410910.1055/s-0044-1800813Total Contact Cast after Sole Free Flap Reconstruction for Early AmbulationYutaro Yamashita0https://orcid.org/0000-0002-8044-0721Yoshiro Abe1https://orcid.org/0000-0002-7445-2857Mayu Bando2https://orcid.org/0009-0001-0599-1283Shunsuke Mima3https://orcid.org/0009-0008-6980-453XHiroyuki Yamasaki4https://orcid.org/0009-0002-5442-0791Shinji Nagasaka5https://orcid.org/0009-0003-0480-804XKazuhide Mineda6https://orcid.org/0009-0009-2050-3338Ichiro Hashimoto7https://orcid.org/0000-0002-1553-6305Department of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, JapanDepartment of Plastic Reconstructive and Aesthetic Surgery, The University of Tokushima, Tokushima, Japan Background Free flap reconstruction can be performed in patients with chronic limb-threatening ischemia (CLTI). However, early walking training may increase the risk of wound dehiscence and prolong hospitalization. Total contact cast (TCC) treatment effectively addresses diabetic plantar ulcers by immobilizing the foot and distributing weight away from the ulcer area. This study aimed to assess the effect of postoperative TCC use on early limb loading and hospital stay in patients with CLTI with free flaps.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1800813chronic limb-threatening ischemiatotal contact castfree flapdiabetic foot ulcer |
| spellingShingle | Yutaro Yamashita Yoshiro Abe Mayu Bando Shunsuke Mima Hiroyuki Yamasaki Shinji Nagasaka Kazuhide Mineda Ichiro Hashimoto Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation Archives of Plastic Surgery chronic limb-threatening ischemia total contact cast free flap diabetic foot ulcer |
| title | Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation |
| title_full | Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation |
| title_fullStr | Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation |
| title_full_unstemmed | Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation |
| title_short | Total Contact Cast after Sole Free Flap Reconstruction for Early Ambulation |
| title_sort | total contact cast after sole free flap reconstruction for early ambulation |
| topic | chronic limb-threatening ischemia total contact cast free flap diabetic foot ulcer |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1800813 |
| work_keys_str_mv | AT yutaroyamashita totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT yoshiroabe totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT mayubando totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT shunsukemima totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT hiroyukiyamasaki totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT shinjinagasaka totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT kazuhidemineda totalcontactcastaftersolefreeflapreconstructionforearlyambulation AT ichirohashimoto totalcontactcastaftersolefreeflapreconstructionforearlyambulation |