Comparison of posterior slab cast with total contact cast in the management of diabetic foot ulcers: A randomized controlled trial
Primary result · Wound healing rateResult — go to the resultHazard ratio 1.3 CI 1.03–1.73Authors' conclusion
Compared to TCC, PSC was more effective in healing neuropathic plantar DFUs, likely due to its less cumbersome application technique and providing easier access for wound monitoring and intervention when required.
Study context
- Population
- Adults with T2D with a single neuropathic Wagner grade 2 or 3 plantar diabetic foot ulcers (DFU)
- Participants
- 99 adults
- Comparison
- Posterior slab cast vs total contact cast for off-loading
- Posterior slab cast (PSC)n = 48
- Total contact cast (TCC)n = 51reference
- Primary endpoint
- Wound healing rate
- Follow-up
- 6 months
Methodological detailsparallel-group, open-label, single-centre
- Parallel-group
- Open-label
- Single-centre
Primary result
As reported in the abstract
Hazard ratio
1.3
CI 1.03–1.73
P = 0.024
By group
PSCvs TCC
HR 1.3 (CI 1.03–1.73); P = 0.024
Secondary outcomes
Wound healing rate · 3 months
P = 0.011
% reduction of ulcer surface area from baseline · 4 weeks
P = 0.040
| Outcome | PSC | TCC | P value |
|---|---|---|---|
| Patient satisfaction (Likert scale) | 4.0 ± 1.2 | 2.5 ± 1.1 | P < 0.001 |
Original publication
Comparison of posterior slab cast with total contact cast in the management of diabetic foot ulcers: A randomized controlled trial. Diabetes Res Clin Pract. Published 13 February 2026. doi:10.
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