Recently, at the Advance Pratice Symposium in Melbourne, keynote speaker Dr Roukis emphasised the need to apply a TCC for an active Charcot in an equinus position. I understood his reasons for this were to minimise rearfoot fractures as well as reduce midfoot joint destruction, and to preserve the Plantar Fascia.
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Does anyone know of any literature available describing or evaluating this technique? We frequently use TCC for Charcot and ulceration off-loading and are keen to apply the practice, but the TCC articles we have found either specify 90 degrees or no angle.
Thank you for any information you can provide,
Regards
Helen McCausland
Royal Hobart Hospital
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