JP2017012713A - Total Contact Cast - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a total contact cast suppressing the occurrence of disease by reducing the generation of bacteria on the foot after wearing, shortening a time until the completion of wearing, and reducing a burden on the foot of a patient by reducing local pressure on the sole.SOLUTION: There are included: a cushioning material which reduces local pressure on the sole and protects a relief part of the foot 100; a stockinet which includes bacteriostatic treatment for preventing bacterial infection and covers the foot and the cushioning material; a buffer material which buffers the bones to be a projection part of the foot; an underlying material which fixes the foot and the buffer material; and a casting tape 701 which includes a light hardening resin and fixes the foot and the underlying material followed by hardening.SELECTED DRAWING: Figure 8

Description

  The present invention relates to a total contact cast for treating a foot injury of a diabetic patient, and more particularly to a total contact cast for preventing infection by bacteria.

A conventional total contact cast will be described. FIG. 14 is a block diagram showing a conventional total contact cast. The conventional total contact cast includes a foam pad 1401, a pad strip 1402, and a sock 1403.
A wound patch (not shown) is attached to the wound on the foot 100, and the foot 100 and the wound patch are covered with a sock 1403 to protect the wound portion. Thereafter, the pad strip 1402 covers the projections such as bones of the foot 100 so as to cushion from the outside, and the foam pad 1401 covers the fingers of the foot 100 and the like. Then, after fixing the foot 100, the pad strip 1402, and the foam pad 1401 with the lower winding material, the entire lower winding material is fixed with a casting tape soaked in water, and left for a while to cure around the foot 100 (for example, Patent Document 1).

US Pat. No. 6,974,431

However, in the conventional total contact cast, there is a problem that sweat after wearing or moisture from the casting tape at the time of wearing penetrates to the vicinity of the foot, causing bacteria to develop a disease. In addition, it takes time for the casting tape to harden, and there is also a problem that the burden on the patient until the mounting is completed is large. In addition, there is a problem in that pressure is locally applied to the sole and places a burden on the patient's foot.
The present invention reduces the occurrence of disease by reducing the generation of bacteria on the foot after wearing, shortens the time to complete wearing, reduces the local pressure on the sole, and reduces the patient's foot. Providing total contact cast that can reduce the burden of

In order to solve the conventional problems, the total contact cast of the present invention has the following configuration.
A cushioning material that reduces the application of local pressure to the sole of the foot and protects the load-carrying part of the foot; a sterilization coating that contains antibacterial processing that prevents bacterial infection; and covers the foot and the cushioning material; and the foot A cushioning material that cushions the bones and the like that form the protrusions of the body, a lower winding material that fixes the foot and the cushioning material, and a casting tape that contains a photocurable resin and that cures after fixing the foot and the lower winding material. .

  The total contact cast of the present invention reduces the occurrence of disease by reducing the generation of bacteria on the foot after wearing, shortens the time to complete wearing, and reduces the local pressure on the sole. Can reduce the burden on the patient.

It is a figure which shows the sole of a patient with a wound. It is the figure which attached the felt of the total contact cast of 1st embodiment to the sole. It is the figure which mounted | wore the leg | foot with the total contact cast stockinette of 1st embodiment. It is the figure which mounted | wore the leg | foot material of the total contact cast of 1st embodiment. It is the figure which mounted | wore the leg | foot material of the total contact cast of 1st embodiment. It is the figure which attached the lower contact material of the total contact cast of 1st embodiment to the whole leg | foot. It is the figure which mounted | wore the leg | foot the casting tape of the total contact cast of 1st embodiment. It is the figure which mounted | wore the whole leg | foot with the casting tape of the total contact cast of 1st embodiment. It is the figure which attached the cast heel of the total contact cast of a first embodiment to the whole leg. It is the figure which fixed the cast heel of the total contact cast of 1st embodiment with the casting tape. It is the figure which mounted | wore the leg | foot with the cylindrical casting tape of the total contact cast of 2nd embodiment. It is the figure which attached the cast heel of the total contact cast of a second embodiment to the whole leg. It is the figure which fixed the cast heel of the total contact cast of 2nd embodiment with the casting tape. It is a block diagram of the conventional total contact cast.

  The present invention will be described below with reference to the drawings. In addition, embodiment described below shows an example of typical embodiment of this invention, and, thereby, the range of this invention is not interpreted narrowly.

<First embodiment>
2 to 10 show a method for applying the total contact cast of the first embodiment to constituent members and feet. The total contact cast of the first embodiment includes a felt 201, a stockinet 301, a foam material 401, a lower winding material 501, casting tapes 701 and 1001, and a cast heel 901.

  FIG. 1 is a view showing a sole of a foot 100 of a diabetic patient. There is a wound 101 on the sole, which can exist anywhere on the foot 100. FIG. 2 is a view in which the felt 201 is attached to the sole of the foot 100 with the wound 101. The felt 201 is cut as an unloading part so as not to touch the wound 101, and is mounted so as to cover most of the sole. In this way, even if it walks after mounting | wearing, the felt 201 etc. can be prevented from touching and irritate | stimulating the wound 101, and the recovery | restoration of the wound 101 can be accelerated | stimulated. Further, the felt 201 has a cushioning property, and the pressure applied to the sole can be dispersed to reduce the local pressure.

As a molding material of the felt 201, for example, wool is used, and a material having a thickness of 8 mm, a basis weight of 900 g / cm 2 and an acrylic adhesive release paper on one side is preferable.
FIG. 3 is a view showing a state in which the foot 100 on which the felt 201 is worn is covered with a stockinet 301. The stockinette 301 covers and covers the felt 201 from the fingertip of the foot 100 to the vicinity of the knee. The stockinet 301 is antibacterial and covers a wide area from the fingertip of the foot 100 to the vicinity of the knee, thereby reducing the generation of bacteria due to moisture such as sweat after wearing and suppressing the onset of disease. Can do. Examples of the molding material of the stockinette 301 include cotton, and it is preferable to use circular knitting.

  FIG. 4 is a view in which a foam material 401 is attached to the foot 100 covered with the stockinette 301. The foam material 401 is attached to a protruding portion such as a bone of the foot 100, and it is possible to reduce the feeling of pain due to the contact between the total contact cast and the protruding portion after mounting. As the foam material 401, any cushioning material may be used as long as it cushions a protruding portion such as a bone of the foot 100.

  5 and 6 are views in which the lower wound material 501 is wound around the foot 100 covered with the stockinet 301 and attached with the foam material 401. The lower winding material 501 is wound so as to fix the stockinette 301 and the foam material 401 to the foot 100, and the stockinette 301 and the foam material 401 are spread over a wide range from the tip of the finger of the foot 100 to the vicinity of the knee as shown in FIG. Wrap to cover completely.

  7 and 8 are views in which the casting tape 701 is wound around the foot 100 around which the lower winding material 501 is wound. The lower winding material 501 is wound so as to be covered with the casting tape 701, and wound from the tip of the finger 100 to the vicinity of the knee as shown in FIG. The casting tape 701 contains a photo-curing resin, and the casting tape 701 can be cured and hardened around the foot 100 by irradiating light to the hind foot 100 around which the casting tape 701 is wound.

  FIG. 9 is a view in which a cast heel 901 is attached to the sole of the foot 100 around which the cured casting tape 701 is wound. The cast heel 901 is attached in accordance with the position of the arch on the sole, and can be used when going out.

  FIG. 10 is a view in which the casting tape 1001 is wound around and fixed to the foot 100 to which the cast heel 901 is attached. The casting tape 1001 contains a photo-curing resin, and the casting tape 1001 can be cured by irradiating the foot 100 with light, and the periphery of the foot 100 can be hardened with the cast heel 901 attached. Although not shown, after curing the casting tape 1001, the surface can be protected so as to prevent stickiness by light-curing resin, catching on clothes, and contamination by winding the foot 100 with a cover material such as a bandage. it can.

  In this manner, the mounting of the total contact cast on the foot 100 is completed. Since the stockinet 301 is antibacterial processed, the occurrence of disease can be suppressed by reducing the generation of bacteria after the total contact cast is mounted. In addition, since the casting tapes 701 and 1001 are cured by light, moisture can be cured immediately after light irradiation without penetrating the foot 100, reducing the generation of bacteria and shortening the time to complete the mounting. The burden on the patient can be reduced. Furthermore, since the sole is covered with the felt 201, the local pressure applied to the sole can be reduced, and the burden on the patient's foot can be reduced.

  In addition, when covering the felt 201 and the foot 100 with the stockinet 301, it is possible to further reduce the generation of bacteria by wearing antibacterial gauze between the fingers of the foot 100 and the fingers, and to develop the disease. It may be suppressed. In addition, after covering the foot 100 with the stockinette 301, the foam material 401 was attached to a protruding portion such as a bone. After the foam material 401 was attached to a protruding portion such as a bone, the foot 100 was covered with the stockinette 301. Also good. The casting tapes 701 and 1001 may be the same as long as they contain a photocurable resin. Further, the felt 201 may be made of the same cushioning material as long as the thickness can be reduced, the performance is less deteriorated, and the cushioning property is provided.

  Furthermore, the cast heel 901 is attached to the sole of the foot 100 around which the casting tape 701 is wound. However, if the cast shoe is attached to the foot 100 without using the cast heel 901, the cast heel 901 can be prevented from getting dirty when going out. Any thing is acceptable. When the cast heel 901 is not used, the casting tape 701 is cured, and then the foot 100 is wrapped with a cover material such as a bandage to protect the surface so as to prevent sticking with light-curing resin, catching on clothes, and dirt. May be.

  According to the total contact cast of the first embodiment as described above, it is possible to reduce the occurrence of disease by reducing the generation of bacteria on the foot after wearing, shorten the time until the wearing is completed, The pressure on the patient can be reduced and the burden on the patient can be reduced.

<Second Embodiment>
FIG. 11 to FIG. 13 show a method of applying the total contact cast of the second embodiment to constituent members and feet. Since it is the same as that of 1st embodiment until it winds the lower wound material 501, description is omitted.

  FIG. 11 is a view in which a cylindrical casting tape 1101 is wound around the foot 100 around which the lower winding material 501 is wound. The upper portion of the lower winding material 501 is completely covered with the cylindrical casting tape 1101 from the tip of the finger of the foot 100 to the vicinity of the knee. Covered. The cylindrical casting tape 1101 contains a photo-curing resin. After covering with the cylindrical casting tape 1101, the cylindrical casting tape 1101 is cured by irradiating the foot 100 with light, and the foot 100. Can harden around.

  FIG. 12 is a view in which a cast heel 1201 is attached to the sole of the foot 100 covered with a hardened cylindrical casting tape 1101. The cast heel 1201 is attached in accordance with the position of the arch on the sole, and can be used when going out.

  FIG. 13 is a view in which a casting tape 1301 is wound around and fixed to the foot 100 to which the cast heel 1201 is attached. The casting tape 1301 contains a photo-curing resin, and the casting tape 1301 can be cured by irradiating light to the fixed foot 100 and the foot 100 can be hardened with the cast heel 1201 attached. Although not shown, after curing the casting tape 1301, the surface can be protected so as to prevent stickiness by light curing resin, catching on clothes, and dirt by winding the foot 100 with a cover material such as a bandage. it can.

  In this manner, the mounting of the total contact cast on the foot 100 is completed. Since the stockinet 301 is antibacterial processed, the occurrence of disease can be suppressed by reducing the generation of bacteria after the total contact cast is mounted. Further, since the cylindrical casting tape 1101 and the casting tape 1301 are cured with light, the moisture can be cured immediately after light irradiation without penetrating the foot 100, and the generation of bacteria and the completion of mounting can be reduced. The burden on the patient can be reduced by shortening the time. Furthermore, since the sole is covered with the felt 201, it is possible to reduce the local pressure on the sole and the burden on the patient.

  As long as the cylindrical casting tape 1101 contains a photo-curing resin, a similar material may be used. The cast heel 1201 is attached to the sole of the foot 100 covered with the cylindrical casting tape 1101, but the cast shoe is attached to the foot 100 without using the cast heel 1201, so that the cast heel 1201 can be prevented from getting dirty when going out. Anything is acceptable. Also, when the cast heel 1201 is not used, after curing the cylindrical casting tape 1101, the foot 100 is wrapped with a cover material such as a bandage to prevent sticking with light curable resin, catching on clothes, and dirt. The surface may be protected.

  According to such a total contact cast of the second embodiment, it is possible to reduce the occurrence of disease by reducing the generation of bacteria on the foot after wearing, shorten the time to complete wearing, The pressure on the patient can be reduced and the burden on the patient can be reduced.

100 Foot 101 Scratch 201 Felt 301 Stockinet 401 Foam material 501 Lower roll material 701, 1001, 1301 Casting tape 901, 1201 Cast heel 1101 Tubular casting tape 1401 Foam pad 1402 Pad strip 1403 Sock

Claims (7)

A cushioning material that reduces local pressure on the sole and protects the load-carrying part of the foot;
Containing a bactericidal treatment to prevent bacterial infection, and a stockinette covering the foot and the cushion material;
A cushioning material that cushions bones and the like that form the protruding portion of the foot
A lower winding material for fixing the foot and the cushioning material;
A total contact cast comprising a photo-curing resin and a casting tape that cures after fixing the foot and the lower winding material.   The total contact cast according to claim 1, wherein the casting tape has a cylindrical shape.   Furthermore, the total contact cast of Claim 1 or 2 provided with the cast heel installed in the bottom face of the said leg, and being fixed with the said leg and the said casting tape.   Furthermore, the total contact cast in any one of Claim 1 to 3 provided with the gauze containing the antibacterial process which prevents a bacterial infection between the said toes and the said fingers.   Furthermore, the total contact cast in any one of Claim 1 to 4 provided with the cover material which covers the said casting tape. Reducing the application of local pressure to the sole with cushioning material and protecting the load-free part of the foot;
A step of covering the foot and the cushioning material with an antibacterial processed stockinet that prevents bacterial infection,
Buffering the bones and the like that become the protruding portion of the foot with a cushioning material;
Fixing the foot and the cushioning material with a lower winding material;
A method of applying total contact casting, comprising: fixing the foot and the lower wound material with a casting tape containing a photocurable resin, and curing the casting tape.   The total contact cast application method according to claim 6, further comprising a step of installing a cast heel on a bottom surface of the foot and fixing the cast heel to the foot with the casting tape.

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