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Total contact casting (TCC) is often viewed as the"gold standard" for offloading of diabetic foot ulcers and yet is rarely used. The reasons most often cited for TCC not being selected is that it is "impractical" for patients and/or physicians, not accepted by patients, or contraindicated.
What do physicians actually prescribe? The answer is a "hodge-podge" of approaches with little consistency among health care practitioners, and no consensus on what actually works...UNTIL NOW!