Patent ID: 9433535
Filing Date: 2016-09-06
CPC Classification: A61F

Claim Text:
1. A method for applying a new cast on patients with diabetic and neuropathic foot ulcerations comprising applying a bandage to protect the wound area, applying a cotton tube stocking over the leg, foot and a folded area over the toes, positioning a perforated self-adhesive foam toe pad over the distal toe area evenly distributed over the dorsum and plantar foot surfaces, positioning a self-adhesive felt strip on a lateral and a medial side of the leg at the bottom of the malleolus, parallel and proximally up the leg to just below the tibia tuberosity, positioning a self-adhesive felt tibia bridge connecting the proximal inside edges of the self-adhesive felt lateral and medial strips, positioning a short self-adhesive felt malleoli strip on the lateral and medial side of the foot from the edge of the self-adhesive foam toe pad, proximally up the foot overlapping the distal end of the lateral and the medial strip to the back of the malleolus, positioning the self-adhesive felt strips covering the tibia crest from distal edge of self-adhesive tibia bridge to the talus, applying a plaster shell from the middle self-adhesive foam toe pad, proximally to the edge of self-adhesive felt lateral and medial strips, applying a fiberglass layer over the plaster shell, applying a multi-layer prefabricated fiberglass support splint over the initial fiberglass layer from the upper posterior edge of the cast distally down the leg and over the entire plantar surface, securing a rocker, walker cast heel to the fiberglass support splint on the plantar surface with a final layer of fiberglass, applying a layer of self-adhering bandage over the upper one third of the cast, wherein the improvement comprises: (a) applying a cotton tube stocking rolling from the distal toes, proximally up the leg to above the patient's knee leaving approximately four inches overlapping the toes, (b) applying the first self-adhesive felt lateral strip positioned at the base of the lateral malleolus proximally up the leg to just below the tibia tuberosity over the said cotton tube stocking on the leg; (c) applying the second self-adhesive felt medial strip positioned at the base of the medial malleolus proximally up the leg to just below the tibia tuberosity and parallel to the first lateral self-adhesive felt strip over the said cotton tube stocking on the leg; (d) applying the self-adhesive felt tibia bridge connecting the proximal inside edges of the first and second self-adhesive felt lateral and medial strips over the said cotton tube stocking on the leg; (e) applying the first self-adhesive felt lateral malleoli strip connected at the proximal lateral edge of the self-adhesive perforated foam toe pad along the lateral side of the foot and overlapping the distal edge of the said first self-adhesive felt lateral strip, covering the malleolus over the said cotton tube stocking on the foot; (f) applying the second self-adhesive felt medial malleoli strip connected at the proximal medial edge of the self-adhesive perforated foam toe pad along the medial edge of the foot and overlapping the distal edge of the second said self-adhesive felt medial strip and covering the malleolus over the said cotton tube stocking on the foot.