Unique ID issued by UMIN | UMIN000012694 |
---|---|
Receipt number | R000014452 |
Scientific Title | Total Contact Cast for intractable foot ulceration in diabetic patients Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up |
Date of disclosure of the study information | 2014/01/01 |
Last modified on | 2014/05/27 17:58:42 |
Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up
Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up
Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up
Total Contact Cast for intractable foot ulceration in diabetic patients
Registry, a Prospective, Multicenter Study in Japan With 3-Month Follow-up
Japan |
Non-healing Foot Ulcer
Plastic surgery |
Others
NO
To evaluate the efficacy and safety of total contact casting in the treatment of non-healing foot ulcers.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
Ulcer Healing (at 12 weeks)
Time required for complete healing
The presence or absence of ulcer occurrence of other sites up to 12 weeks after the operation.
Presence or absence of complications.
Period up to good granulation
Ulcerogenic at other sites.
Occurrence of other complications.
TCC wearing period.
Total cost of care for wound treatment.
Time-dependent change in the total area.
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Maneuver |
For patients with chronic ulcer on the sole of the foot that can not be healed with standard therapy for over 4 weeks, to immobilize with TCC which spread the pressure on the sole for the avoidance of excessive pressure on specific area, covered up to under the knee.
Procedure of TCC:
1.Cover the affected area with gauzes or wound dressing materials appropriately.
2.Apply felt around the ulcer and/or bony area for protection and non weight- bearing.
3.Mold Total Contact Casting with photocurable or water-curable materials over stockinette and cast pad.
4.Attach the cast heel and/or the cast shoe for walking.
5.Release the TCC once every one or two weeks for observation of the wound. After observation, mold another new TCC.
6.Debridement of the wound is assumed to be performed as necessary.
Not applicable |
Not applicable |
Male and Female
1.Chronic ulcers in the plantar area.
2.Ambulatory patient
3.Debridement has been done in the presence of necrotic tissue and/or infection.
4.Ulcers with a small or moderate amount of discharge.
5.To be performed with the principle of consent, given in writing, by the person himself. However, if the document of consent from the person cannot be obtained for any reason, a legal representative (legal representative of the person being treated) agrees to allow the procedure(s)
1.Presence of ulcers in both the forefoot and the heel.
2.Local infection on the ulcer area and/or systemic infection.
3.In the case of bone exposure or radiographic signs of myelitis.findings.
4.Negative arterial Doppler examination for the dorsalis pedis artery and/or the posterior tibial artery due to critical limb ischemia.
5.Plantar ulcers exist bilaterally or the contralateral foot has been amputated.
6.Malignant tumor exists in the wound bed or its surroundings.
7.Uncontrollable bleeding from the wound.
8.Deep venous thrombosis, varicose veins, or lymphedema.
9.Radiation therapy, chemotherapy, VEGF inhibitor, or administration of steroids.
10.Poor general status, under-nutrition, coagulopathy, or connective tissue disease.
11.A pregnant or breast-feeding woman or a child.
12.Patients who cannot come to our hospital.
13.Patients judged to be inappropriate for enrollment in this study.
100
1st name | |
Middle name | |
Last name | Mamoru Kikuchi |
Saga University Hospital
Department of Plastic and Reconstructive Surgery
Nabeshima 5-1-1, Saga-city, Saga, Japan
0952-34-2460
mamoru-osk@umin.ac.jp
1st name | |
Middle name | |
Last name | Mamoru Kikuchi |
Saga University Hospital
Department of Plastic and Reconstructive Surgery
Nabeshima 5-1-1, Saga-city, Saga, Japan
0952-34-2460
mamoru-osk@umin.ac.jp
Saga University Hospital
Saga University Hospital
Self funding
NO
2014 | Year | 01 | Month | 01 | Day |
Unpublished
Open public recruiting
2013 | Year | 09 | Month | 02 | Day |
2014 | Year | 01 | Month | 01 | Day |
2013 | Year | 12 | Month | 25 | Day |
2014 | Year | 05 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014452