{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:12:03Z","timestamp":1791645123414,"version":"4.3.4"},"reference-count":7,"publisher":"MDPI AG","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Total contact casting is the gold standard for plantar foot ulcers but has been questioned in heel pressure ulcers. Current offloading of heel ulcers is typically removable offloading boots. We describe using a modified posterior splint to offload heel ulcers in nonweightbearing patients. The posterior splint is readily available and familiar to practitioners, with less of a learning curve than a total contact cast. As part of the dressing, the posterior splint is less likely to be removed and leads to increased compliance. We hypothesize that this can translate to improved healing of pressure ulcers at the heel.<\/jats:p>","DOI":"10.7547\/22-131","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T10:11:26Z","timestamp":1737972686000},"source":"Crossref","is-referenced-by-count":1,"title":["Heel Offloading Posterior Splint for Treatment of Heel Ulcerations"],"prefix":"10.3390","volume":"114","author":[{"given":"Fahad","family":"Hussain","sequence":"first","affiliation":[{"name":"RWJBH-Community Medical Center Foot and Ankle Surgery, Toms River, NJ."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Lenz","sequence":"additional","affiliation":[{"name":"Jesse Brown VA Medical Center, 820 S Damen Ave, Chicago, IL."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Diabetes Care","first-page":"551","article-title":"Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial","volume":"28","author":"Armstrong DG","year":"2005","unstructured":"Armstrong DG, Lavery LA, Wu S, et al: Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial. Diabetes Care 28: 551, 2005."},{"key":"B2","series-title":"Diabetes Metab Res Rev","first-page":"193","article-title":"Comparison of the clinical effectiveness of different off\u2010loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: A systematic review and meta\u2010analysis","volume":"29","author":"Morona JK","year":"2013","unstructured":"Morona JK, Buckley ES, Jones S, et al: Comparison of the clinical effectiveness of different off\u2010loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: A systematic review and meta\u2010analysis. Diabetes Metab Res Rev 29: 193, 2013."},{"key":"B3","series-title":"J Diabetes Sci Technol","first-page":"302","article-title":"A comparative study between total contact cast and pressure-relieving ankle foot orthosis in diabetic neuropathic foot ulcers","volume":"9","author":"Chakraborty PP","year":"2015","unstructured":"Chakraborty PP, Ray S, Biswas D, et al: A comparative study between total contact cast and pressure-relieving ankle foot orthosis in diabetic neuropathic foot ulcers. J Diabetes Sci Technol 9: 302, 2015."},{"key":"B4","series-title":"Orthopedics","first-page":"31","article-title":"Novel posterior splinting technique to avoid heel ulcers","volume":"36","author":"Hsu RY","year":"2013","unstructured":"Hsu RY, Lareau CR, Born CT: Novel posterior splinting technique to avoid heel ulcers. Orthopedics 36: 31, 2013."},{"key":"B5","series-title":"Foot Ankle Int","first-page":"809","article-title":"The mechanism of plantar unloading in total contact casts: implications for design and clinical use","volume":"18","author":"Shaw JE","year":"1997","unstructured":"Shaw JE, Hsi WL, Ulbrecht JS, et al: The mechanism of plantar unloading in total contact casts: implications for design and clinical use. Foot Ankle Int 18: 809, 1997."},{"issue":"1","key":"B6","series-title":"JAPMA","article-title":"Evaluating iatrogenic complications of the total-contact cast","volume":"106","author":"Owings TM","year":"2016","unstructured":"Owings TM, Nicolosi N, Suba J, et al: Evaluating iatrogenic complications of the total-contact cast. JAPMA 106: 1, 2016."},{"key":"B7","series-title":"J Wound Ostomy Continence Nurs","first-page":"585","article-title":"Revised national pressure ulcer advisory panel pressure injury staging system: Revised pressure injury staging system","volume":"43","author":"Edsberg LE","year":"2016","unstructured":"Edsberg LE, Black JM, Goldberg M, et al: Revised national pressure ulcer advisory panel pressure injury staging system: Revised pressure injury staging system. J Wound Ostomy Continence Nurs 43: 585, 2016."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/114\/6\/22-131.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/6\/22-131.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/114\/6\/22-131.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:53Z","timestamp":1783505993000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/114\/6\/22131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":7,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.7547\/22-131","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]}}}