Guidance

Recommended casting types

	Phase 1 Oedema, exudation , no ulcer healing up to 4 weeks	Phase 2 Reduced oedema , less exudation,improved healing , achieved off-loading	Phase 3 Healed / Substantielly improved healing. Prepare for transition to orthotic treatment post _TCC ( insoles , orthosis ) after removal of the cast	Phase 4 Orthotic treatment post - TCC. Any orthotic treatment shall be ready for use after the removal of the cast.
Digiti 1 plantar Median healingtime 5,8w	TCC with toe-lock TCC with footplate	TCC with toe-lock TCC with footplate BC CC CCO	BC CC CCO GS Prefab Ortos
Digiti 2 – 5 plantar Median healingtime 5,9 w	TCC with footplate	TCC with footplate BC CC CCO	BC CC CCO GS Prefab Ortos
Caput metarsale 1 Median healingtime 6,4 w	TCC with toe-lock TCC with footplate CCO	TCC with toe-lock TCC with footplate BC CC CCO	BC CC CCO GS Prefab Ortos
Caput metatarsale 2 - 5 Median healingtime 8,2 w	TCC with footplate CCO	TCC with footplate BC CC CCO	BC CC CCO GS Prefab Ortos
Plantar ulcer / plantar incision Median healingtime 19,4 w	TCC with footplate BC CCO	TCC with footplate BC CC CCO	BC CC CCO Prefab Ortos
Heel ulcers Median healingtime 23,4 w	TCC with footplate BC CCO	TCC with footplate BC CC CCO	BC CC CCO Prefab Ortos
Forefoot amputation / Toe amputation Median healingtime 16,5 w	TCC with footplate GS	TCC with footplate BC CC CCO GS
Osteoartropathy / Charcot Median healingtime 16,9 w	TCC with footplate	TCC with footplate CC	TCC with footplate CC CCO

Casting types

TCC Total Contact Cast - with footplate under the toes Rigid , non removable
TCC Total Contact Cast - with toe-lock Rigid , non removable
BC Bivalved cast with straps Rigid , removable

CC CombiCast Semirigid , non removable
CCO Combicast orthosis Semirigid , removable

GS Geisha Shoe Semirigid or rigid , removable or non removable
Prefab Ortos Prefabricated orthosis Rigid , removable