Modality and system for casting diabetic and neuropathic plantar foot ulcerations and treating defects that limit range of motion
OwnerMichael G Cragoinventor
Life of this patent
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Abstract
A system that is clinically and effically sound, consisting of proprietary components that not only address the needs of the clinician but are universally utilized in a concise protocol covering a wide range of indications and conditions.
Claims8
A method for applying a new cast on patients with diabetic and neuropathic foot ulcerations comprising applying a bandage to protect the wound area, applying a cotton tube stocking over the leg, foot and a folded area over the toes, positioning a perforated self-adhesive foam toe pad over the distal toe area evenly distributed over the dorsum and plantar foot surfaces, positioning a self-adhesive felt strip on a lateral and a medial side of the leg at the bottom of the malleolus, parallel and proximally up the leg to just below the tibia tuberosity, positioning a self-adhesive felt tibia bridge connecting the proximal inside edges of the self-adhesive felt lateral and medial strips, positioning a short self-adhesive felt malleoli strip on the lateral and medial side of the foot from the edge of the self-adhesive foam toe pad, proximally up the foot overlapping the distal end of the lateral and the medial strip to the back of the malleolus, positioning the self-adhesive felt strips covering the tibia crest from distal edge of self-adhesive tibia bridge to the talus, applying a plaster shell from the middle self-adhesive foam toe pad, proximally to the edge of self-adhesive felt lateral and medial strips, applying a fiberglass layer over the plaster shell, applying a multi-layer prefabricated fiberglass support splint over the initial fiberglass layer from the upper posterior edge of the cast distally down the leg and over the entire plantar surface, securing a rocker, walker cast heel to the fiberglass support splint on the plantar surface with a final layer of fiberglass, applying a layer of self-adhering bandage over the upper one third of the cast, wherein the improvement comprises:
- (a) applying a cotton tube stocking rolling from the distal toes, proximally up the leg to above the patient's knee leaving approximately four inches overlapping the toes,
- (b) applying the first self-adhesive felt lateral strip positioned at the base of the lateral malleolus proximally up the leg to just below the tibia tuberosity over the said cotton tube stocking on the leg;
- (c) applying the second self-adhesive felt medial strip positioned at the base of the medial malleolus proximally up the leg to just below the tibia tuberosity and parallel to the first lateral self-adhesive felt strip over the said cotton tube stocking on the leg;
- (d) applying the self-adhesive felt tibia bridge connecting the proximal inside edges of the first and second self-adhesive felt lateral and medial strips over the said cotton tube stocking on the leg;
- (e) applying the first self-adhesive felt lateral malleoli strip connected at the proximal lateral edge of the self-adhesive perforated foam toe pad along the lateral side of the foot and overlapping the distal edge of the said first self-adhesive felt lateral strip, covering the malleolus over the said cotton tube stocking on the foot;
- (f) applying the second self-adhesive felt medial malleoli strip connected at the proximal medial edge of the self-adhesive perforated foam toe pad along the medial edge of the foot and overlapping the distal edge of the second said self-adhesive felt medial strip and covering the malleolus over the said cotton tube stocking on the foot.
A method for applying a cast, the method comprising applying a cotton tube stocking over the leg, foot and a folded portion over the toes, positioning a perforated self-adhesive foam toe pad over the distal toe area evenly distributed over the dorsal and plantar foot surfaces, positioning the first self-adhesive felt lateral strip from the base of the lateral malleolus proximally up the leg to just below the tibia tuberosity, applying the second self-adhesive felt medial strip positioned at the base of the medial malleolus proximally up the leg to just below the tibia tuberosity, applying the self-adhesive felt tibia bridge connecting the proximal inside edges of the first and second self-adhesive felt lateral and medial strips, applying additional self-adhesive felt strips distally from distal edge of the self-adhesive felt tibia bridge covering the tibia crest and the talus area of the foot, applying the first self-adhesive felt lateral malleoli strip connected at the proximal lateral edge of the self-adhesive perforated foam toe pad along the lateral side of the foot and overlapping the distal edge of the first lateral strip and covering the malleolus, applying the second self-adhesive felt medial malleoli strip connected at the proximal medial edge of the self-adhesive perforated foam toe pad along the medial edge of the foot and overlapping the distal edge of the second self-adhesive felt medial strip and covering the malleolus, applying a plaster shell rolling from middle of the self-adhesive foam toe pad, proximally to the edge of self-adhesive felt lateral and medial strips and self-adhesive tibia bridge, applying a first layer of fiberglass starting at middle of self-adhesive perforated foam toe pad rolling to the proximal edge of a cotton tube stocking, applying pre-fabricated multi-layer support splint covering the posterior side of leg and along the plantar surface, applying a second fiberglass layer covering foot and leg securing the multi-layer support splint and rocker, walker in proper position, application of the self-adhering bandage to the proximal one third of the cast, comprising the steps of:
- (a) applying the fiberglass pre-fabricated multi-layer support splint to the posterior side of the leg and the plantar surface increasing surface area, strengthening the cast;
- and
- (b) applying the said pre-fabricated multi-layer support splint to the proximal posterior edge of the cast, distally along the posterior side of the leg, over the heel, along the plantar surface and overhanging at the toes, and ready for receiving said rocker, walker heel, wherein attached directly to the said pre-fabricated multi-layer support splint.
A modality and system for casting a patient's diabetic and neuropathic plantar foot ulcerations and treating defects that limit range of motion comprising a first protective layer of cotton tube stocking adapted to cover the leg of the patient, the cotton tube extending from the knee to the foot of the patient, an adhesive foam perforated toe pad configured to be located and placed over the distal area of the toes, lateral and medial felt strips attached to the cotton tube stocking, a pair of felt malleoli strips attached to the cotton tube stocking and overlapping the distal ends of the medial and lateral felt strips and a first layer of plaster material covering the felt strips, said first layer of plaster becoming rigid to cover and protect the felt strips and the leg of the patient.
Dependencies are inferred from the claim text.