The efficacy of a total-contact casting (TCC) technique in everyday practice was assessed in this observational study. Seventy-nine per cent of participants achieved healing. Participants whose clinical cases and course of treatment were similar to those reported in randomised controlled trials of classic TCC achieved 100% healing in <12 weeks. The results suggest that this reusable TCC technique is no less effective than classic TCC. Furthermore, the current indications for TCC may be expanded to achieve healing for a larger patient group....

Diabetic foot wounds are challenging to manage and can be costly to the person with diabetes and the healthcare system. The colonisation of a diabetic foot wound can lead to infection, a frequent precursor to amputation. Here, the authors report the use of topical negative pressure therapy, in conjunction with a silver foam dressing, to reduce bacterial burden in colonised chronic diabetic foot ulcer and prevent progression to infection....