Effectiveness of Total Contact Cast and Negative Pressure Wound Therapy in Healing Critical Limb Ischemia

Abstract

　The management of patients with chronic leg wounds requires long-term rest. Thus, advanced dementia and disuse syndrome make walking difficult. The critical limb ischemia that accompanies a chronic leg wound needs revascularization, which significantly prolongs the healing process. Therefore, patients with critical limb ischemia have difficulty in walking and are an increased risk of falling.
　The treatment of critical limb ischemia using total contact cast with negative pressure wound therapy facilitated healing. At the same time, prompt rehabilitation after debridement enabled all patients to maintain their activities of daily living.