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How Might a Posterior Splint Method Improve Offloading Outcomes?
Is there an irremovable offloading device suitable for lower extremity pressure injuries? “An irremovable heel offloading device encourages increased compliance,” says Dr. Lenz and Dr. Hussain within their poster presentation at SAWC, “Heel Offloading Posterior Splint for Treatments of Heel Ulcerations.” However, most total contact casting (TCC) proves a greater risk of injury through iatrogenic complications and possible increases in pressure. Dr. Lenz and Dr. Hussain present the use of a particular posterior splint application method that may resolve possible complications traditional splints pose.
With all the benefits of TCC, the heel offloading posterior splint (HOPS) is an irremovable offloading device that leaves room for the wound care professional to inspect the wound area or apply advanced therapies. In this interview, Dr. Lenz and Dr. Hussain share their experience and insights regarding this method.
What existing data led you and your co-investigator to conduct this research presented in your poster?
The authors of the poster acknowledge that most clinicians know that total contact casting is the gold standard for plantar foot ulcers. “Total contact casting (TCC) works because it is irremovable and offloads pressure from the ulcerated area,” they say. “Evaluating complications with the use of TCC, including increase in pressure at the heel as well as new ulcerations, macerations, and anterior leg abrasions is what led us to present this particular approach.”
