Application and Removal Videos

Total Contact Casting - Clinically Effective Approach to Healing

Dr. David Armstrong and his colleagues' research results showed that TCC heals a higher proportion of wounds in a shorter amount of time over the two other widely used off-loading modalities — the Removable Cast Walker (RCW) and the half-shoe (P=0.026).1 Fiberglass and plaster casts retain their rigidity over time, healing the ulcer over a shorter period.2

Wounds achieving less than 53% closure at week four have minimal chance of healing with conventional therapy.3

• 90% of all non-ischemic ulcers without infection
• Average time to heal = 34 days

By definition, a Total Contact Cast is rigid and is the 'Gold Standard' in the management/healing of DFUs. Cutimed® Off-Loader Select incorporates all components necessary for providing a truly rigid casting.

1. Armstrong, D., et al. Off-loading the diabetic foot wound. Diabetes Care 2001;24: 1019-22
2. Synder R, Hanft J. Diabetic Foot Ulcers – Effects on Quality of Life, Costs, and Mortality and the Role of Stand Wound Care and Advanced-Care Therapies in Healing: A Review. Ostomy Wound Management 2009: 28-38.
3. Sheehan P, Jones P, Caselli A, Giurini JM, Veves A. Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial. Diabetes Care 2003;26:1879–82. 

Use of Cutimed® Off-Loader Select Total Contact Cast and Advanced Wound Dressing to Manage Diabetic Foot Ulcer in the Setting of Lymphedema and Morbid Obesity
This single case study demonstrates the successful management of a DFU and VLU concurrently in a morbidly obese male with bilateral LE lymphedema.

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Management of Plantar Foot Ulcers Using Cutimed® Off-Loader Select, a New Multi-Layer, Fiberglass Total Contact Casting Kit
The goal of the study was to evaluate the effectiveness of Cutimed® Off-Loader Select in eliminating the barriers to incorporating this procedure into daily practice to improve results.

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A Retrospective Comparison of Healing Rates of Two Total Contact Cast Systems
This study quantitatively demonstrated that wounds managed with the Cutimed® Off-Loader Select healed faster than those managed with the TCC-EZ.

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Off-Loading Diabetic Foot Ulcers with the Use of an All Fiber-Glass Total Contact Casting System
Presented here are three case studies detailing the use of commercially available, all-fiberglass, total contact cast (TCC)kit, modified with a built-in walking surface, for the management of diabetic foot ulcers.

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Off-Loading Neuropathic Plantar Metatarsal Ulcers with Total Contact Casting
The purpose of this study was to assess the rate of healing of neuropathic plantar metatarsal ulcers using total contact casting.

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The Relative Time to Healing Forefoot, Midfoot and Rearfoot Wounds Managed with a Total Contact Cast System in a Hospital-Based Wound Care Center
This study sought to examine if there was a significant difference in the number of TCC applications needed to effect wound closure between different wound locations, those being of the forefoot, midfoot and rearfoot.

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Please refer to the product label and / or package insert for full instructions on the safe use of these products.

Cutimed® Off-Loader Select
Instructions For Use
Instructions for use that accompany Cutimed® Off-Loader Select.

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Diabetic Foot Ulcer
Solutions Brochure
An integrated therapy approach to managing and preventing DFUs.

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Cutimed® Off-Loader Select
Product Brochure
An overview of Cutimed® Off-Loader Select and the product's features and benefits.

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Delta-Cast® Saw and Vacuum
Product Brochure
An overview of Delta-Cast® Saw and Vacuum and the features and benefits of the system.

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Cutimed® Off-Loader Select
Patient Care Guide
Simple tips on how to care for your TCC in order to receive the maximum benefit from the therapy.

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Diabetic Foot Ulcer
Patient Education Brochure
Basic information for patients about diabetic foot ulcers and answers to some of the most frequently asked questions.

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Getting Started with Cutimed® Off-Loader Select

Cutimed® Off-Loader Select
Materials Checklist
A handy checklist that provides a listing of the necessary materials for total contact casting therapy.

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Cutimed® Off-Loader Select
Application Checklist
A checklist that provides step-by-step instructions including patient preparation, application and removal of Cutimed® Off-Loader Select.

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Cutimed® Off-Loader Select
Evaluation Form
A guide for evaluating and documenting patient outcomes with the use of Cutimed® Off-Loader Select.

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Cutimed® Off-Loader Select
Application Guide
A step-by-step guide on the proper application of Cutimed® Off-Loader Select.

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Use of Cutimed® Off-Loader Select
in Hyperbaric Oxygen Therapy
Increasingly, the use of hyperbaric oxygen therapy is being indicated for management of hard to cure wounds, including including DFUs.

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Cutimed® Off-Loader Select
Training Certificate
Please contact your BSN medical representative to receive hands-on training and certificate of completion.