Letter: Scotchcast boots in the presence of infection or ischaemia

The Diabetic Foot journal is a most welcome addition to the diabetes literature. I would, however, like to take issue with a comment in the article by Keith Rome (Vol 1 No 1, p.14) that the Scotchcast boot is contraindicated in the presence of infection or ischaemia. No reference is offered for this broad and unsubstantiated statement and if you read the original Scotchcast paper, one of the great benefits is that it can be used both in the ischaemic leg and in the presence of infection whereby the windows allow drainage and wound dressing and the ambulation are the main benefits of this technique. If this author has any evidence we would be most interested to hear of it.