01424nas a2200325   4500000000100000008004100001260001300042653002000055653001600075653003000091653001100121653001800132653001100150653000900161653001600170653003200186653001000218653001500228653001200243100001400255700001300269700001500282700001600297700001800313245004000331300001100371490000700382520069500389022001401084       1991                            d  c1991 Feb10aCasts, Surgical10aDebridement10aDiabetes Mellitus, Type 110aFemale10aFoot Diseases10aHumans10aMale10aMiddle Aged10aPhysical Therapy Modalities10aShoes10aSkin Ulcer10aSplints1 aBirke J A1 aNovick A1 aGraham S L1 aColeman W C1 aBrasseaux D M00aMethods of treating plantar ulcers.  a116-220 v713 a<p>The purpose of this article is to describe the indications, precautions, and fabrication techniques for orthotic devices the authors use to facilitate the healing of plantar ulcers. The methods of fabricating and applying three types of orthotic devices developed by the staff at the Gillis W Long Hansen's Disease Center--walking casts, walking splints, and cutout sandals--are described. Patient examples are given for each of the methods. These techniques, in conjunction with patient education and the use of special footwear, provide clinicians with procedures they can use to aid in the healing of plantar ulcers secondary to leprosy, diabetes, or other neuropathic conditions.</p>  a0031-9023