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Types of offloading devices

Several offloading methods exist and can be roughly divided as:

  • Non-removable:
    • Cast supplies:
      • Knee-high non-removable device: total contact cast (TCC)
    • Walking boot:
      • Knee-high removable cast walker (RCW) rendered non-removable (instant TCC or iTCC)
  • Removable
    • Cast supplies:
      • Ankle-high removable cast: Scotch Cast, Ransart boot
    • Walking boot:
      • Knee-high removable cast walker (RCW)
      • Charcot Restraint Orthotic Walker (CROW)
    • Therapeutic shoes
      • half-shoes
      • heel-relief
      • orthowedge
  • Other
    • Crutches, wheelchair

See pics with different shoes on the DFU google doc

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.
Topic 86 Version 1.0