Table 4:
Total Contact Casting Versus Removable Cast Walkers
| Author, Year N (TCC/RCW) Follow-up | Treatment Discontinuation, n (%) | Ulcer Healing, n (%) | Mean Time to Ulcer Healing, d (SD) |
|---|---|---|---|
| Piaggesi et al, 201628 43 (23/20) 3 months |
Overall TCC: 3 (13.0) RCW: 0 Voluntary withdrawal TCC: 3 (13.0) RCW: 0 |
TCC: 19 (82.6) RCW: 16 (80.0) |
TCC: 37.0 (21.6) RCW: 43.2 (15.1) Kaplan-Meier curve showed no statistically significant difference between groups |
| Lavery et al, 201516 50 (23/27) 3 months |
Overall TCC: 5 (21.7) RCW: 12 (44.4) Complications TCC: 1 (4.3; infection) RCW: 5 (18.5; infection 4, device-related ulcer 1) Voluntary withdrawal TCC: 4 (17.4) RCW: 4 (14.8) Nonadherence TCC: 0 RCW: 3 (11.1) |
TCC: 16 (69.6) RCW: 6 (22.2) Statistically significant (P-value not provided) |
TCC: 37.8 (20.3) RCW: 46.9 (30.1) P = .22 |
| Gutekunst et al, 201133 23 (11/12) >3 months |
Not reported | TCC: 9 (81.8) RCW: 5 (41.7) P < .05 |
TCC: 95 (61) RCW: 94 (64) Not statistically significant |
| Faglia et al, 201034 48 (25/23) 3 months |
Overall TCC: 2 (8.0) RCW: 1 (4.3) Complications TCC: 1 (4.0; ulcer on contralateral foot) RCW: 1 (4.3; ulcer infection requiring antibiotic therapy and more frequent clinic visits) Voluntary withdrawal TCC: 1 (4.0) RCW: 0 |
TCC: 17 (68.0) RCW: 16 (69.6) |
TCC: 35.3 (3.1) RCW 39.7 (4.2) P = .71 Kaplan-Meier curve showed no difference between groups P = .79 |
| Caravaggi et al, 200732 60 (30/30) 3 months |
Overall TCC: 6 (20.0) RCW: 7 (23.3) Complications TCC: 5 (16.7) RCW: 6 (20.0) Nonadherence TCC: 1 (3.3) RCW: 1 (3.3) |
TCC: 24 (80.0) RCW: 23 (76.7) Not statistically significant |
TCC: 48 (NA) RCW: 71 (NA) Statistically significant (P-value not provided) Kaplan-Meier curve showed a faster heating rate with TCC vs. RCW P < .005 |
| Armstrong et al, 200138 50 (25/25) 3 months |
Overall TCC: 6 (24.0) RCW: 5 (20.0) Discomfort TCC: 4 (16.0) RCW: 3 (12.0) Lost to follow-up TCC: 2 (8.0) RCW: 2 (8.0) |
TCC: 17 (68.0) RCW: 13 (52.0) |
TCC: 33.5 (24.3) RCW: 50.4 (26.0) P = .07 Kaplan-Meier curve showed a faster heating rate with TCC vs. RCW P = .033 |
Abbreviations: NA, not available; RCW, removable cast walker; TCC, total contact casting.