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Instant Total Contact Cast to Heal Diabetic Foot Ulcers

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City:   Dallas
State:   Texas
Zip Code:   75390
Conditions:   Diabetic Foot Ulcers
Purpose:   Aim 1. To compare the effectiveness of total contact casts (TCC), removable cast walkers (RCW) and instant total contact casts (ITCC) to heal diabetic foot ulcers in a 20 week randomized clinical trial of 225 patients in community care in three university medical center diabetes clinics. Aim 2. To compare the frequency of complications such as soft tissue and bone infections, iatrogenic wounds, falls and fall related injuries, and amputations among patients treated with TCC, ITCC and RCW to heal diabetic foot ulcers. Aim 3. To compare patient compliance and level of activity among TCC, ITCC, RCW treatment groups. Using computerized activity monitors which time-stamp each step, we will evaluate both degree and magnitude of activity between groups. Aim 4. To evaluate the cost of diabetic foot ulcer-related treatment and complications during the course of therapy.
Study Summary:   This is an investigator blinded randomized, controlled clinical trial with three parallel treatment groups of 75 adult outpatients with diabetes mellitus and a foot ulcer. The study will be conducted at five university affiliated medical centers in Arizona and Texas. The study participants and nurse coordinator will not be blinded to the treatment after randomization. Investigators will be blinded to treatment group assignment.
Criteria:   Inclusion Criteria: - Men or women 18 years old or older - One or more foot ulcers without clinical evidence of osteomyelitis - Diagnosis of Diabetes Mellitus - University of Texas Grade 1A-B, 2A-B or 3A-B - ABI >0.5 - Spanish-speaking subjects will be eligible to participate Exclusion Criteria: - Active Charcot Arthropathy - ABI <0.5 - Gangrene, active infection - Unable to keep research appointments - Wide spread malignancy or systemically immunocompromising disease - Alcohol or substance abuse within 6 months - Unreliable, unwilling or unable to comprehend informed consent
NCT ID:   NCT01221207
Primary Contact:   Principal Investigator
Lawrence Lavery, DPM
UT Southwestern Medical Center at Dallas

Lawrence Lavery, DPM
Phone: 214-645-0544
Email: LLAVE1@mednet.swmed.edu
Backup Contact:   Email: cecilia.lara@utsouthwestern.edu
Cecilia Lara
Phone: 214-645-2377
Location Contact:   Dallas, Texas 75390
United States

Lawrence Lavery, DPM
Phone: 214-645-0544
Email: LLAVE1@mednet.swmed.edu

Site Status: Not yet recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 23, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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