Re: Wound Care

Re: Wound Care

Dennis Clark

2/28/2013

If you are looking for a system to follow the total contact casts, I would look closely at 2 things;
1)Custom AFO through Tillges Technologies
2)PressureGuardian also from Tillges

This is new technology to the market but has had great results and meets the documentation requirements of our profession.


Dennis E. Clark, CPO
President, OPGA
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877 274 4412
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-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On Behalf Of becky and yitzchak langer
Sent: Thursday, February 28, 2013 4:43 AM
To: <Email Address Redacted>
Subject: [OANDP-L] Wound Care

Hello All.

I was hoping to build off of the Need Zero G AFO advice post from November. Wound care is a new patient population for me and any help that I can receive from the larger O&P pool of experience would be greatly appreciated.


1) What might I see on a patient that would indicate that a simple treatment such as a DH Pressure Relief Walker or even a foot orthosis with a doughnut cutout around the wound might be insufficient to offload the wound for healing and eliminate shear sufficiently?

2) What is your preferred method of treatment for patients coming out of total contact casts?

3) I have come across a TOAD TAG AFO on someone else's patient and had some questions about it. The one that I saw did not provide clearance for the patient's heel during weight bearing. To be fair the patient was non-compliant and I cannot objectively blame the brace.

     a) Can anyone give me some feedback on the TOAD TAG AFO? Is it so much better than what is out there that it would be ethical to use it on any wound patient instead of trying something else first?

     b) Is there a population that it's contraindicated for?

Thanks in advance.
Yitzchak Langer, CPO