Table 5:
Total Contact Casting Versus Removable Cast Walkers, Complications
| Author, Year N (TCC/RCW) | Complication, n (%) | ||||||
|---|---|---|---|---|---|---|---|
| Skin Maceration | Ulcer Infection | New Ulcer | Cast Rupture | Fall | Hitching | Abrasion | |
| Piaggesi et al, 201628 43 (23/20) |
Not reported |
Fungal intertrigo TCC: 0 RCW: 1 (5.0) |
Not reported |
Broken cast TCC: 3 (13.0) RCW: 0 |
Not reported | Not reported |
Traumatic abrasion TCC: 3 (13.0) RCW: 0 |
| Lavery et al, 201516 50 (23/27) |
Not reported |
Infection leading to treatment discontinuation TCC: 1 (4.3) RCW: 4 (14.8) |
Iatrogenic ulcers TCC: 0 RCW: 1 (3.7) |
Not reported | Not reported | Not reported | Not reported |
| Faglia et al, 201034 48 (25/23) |
TCC: 0 RCW: 1 (4.3) |
Infection leading to treatment discontinuation TCC: 0 RCW: 1 (4.3) |
Ulcer on the contralateral foot TCC: 1 (4.0) RCW: 0 |
Stirrup rupture (replaced without removing cast) TCC: 1 (4.0) RCW: 0 |
Not reported | TCC: 1 (4.0; resolved after removal of the German cotton) RCW: 0 after removal of the German cotton |
Not reported |
| Caravaggi et al, 200732 60 (30/30) |
Not reported |
Serious infection requiring discontinuation, antibiotics, and surgical debridement TCC: 5 (17.2) RCW: 6 (20.7) Not significant |
Not reported | Not reported | Not reported | Not reported | Not reported |
| Armstrong et al, 200138 50 (25/25) |
Not reported | Not reported |
Device-related ulcerations TCC: 0 RCW: 0 |
Not reported | TCC: 0 RCW: 0 |
Not reported | Not reported |
Abbreviations: RCW, removable cast walker; TCC, total contact casting.