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The introduction of TTC-EZ into the diabetic foot, providing easy access to the gold standard of offloading for the diabetic foot: a series of case examples to demonstrate cost savings and improved patient outcomes

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The introduction of TTC-EZ into the diabetic foot, providing easy access to the gold standard of offloading for the diabetic foot: a series of case examples to demonstrate cost savings and improved patient outcomes

Graham Bowen Head of Podiatry Solnet NHS Trust

[email protected]

Introduction

Poviding gold standard diabetic foot care is vital in order to reduce rising NHS costs of ulceration and amputation (Kerr, 2012). Offloading is key to preventing and healing plantar neuropathic foot ulcers in patients with diabetes. Total contact casting (TCC) is recommended as a first-line option for offloading; however, TCC is widely under-utilised and has poor patient adherence rates (Fife et al, 2010). TCC-EZ® is a casting device that can help to offset some of the challenges of TCC, as it is simpler to apply and found to be more comfortable than traditional TCC. This article will provide practical guidance and case studies to illustrate how TCC-EZ® can be incorporated into gold standard diabetic foot care. As TCC is the gold standard, all suitable patients with diabetes should be assessed for the use of TCC-EZ® and, if appropriate, this should be provided.

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