Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review
Aim: Diabetic Charcot neuro-osteoarthropathy carries a significant worldwide disease burden including diabetic foot infection, ulceration and amputation. The current accepted standard of treatment during the active phase of Charcot neuro-osteoarthropathy is offloading with total contact casting; how...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-12-01
|
| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121241306957 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850114807143858176 |
|---|---|
| author | Rachna Prem Vikramman Vignaraja Thomas Lewis Basil Budair |
| author_facet | Rachna Prem Vikramman Vignaraja Thomas Lewis Basil Budair |
| author_sort | Rachna Prem |
| collection | DOAJ |
| description | Aim: Diabetic Charcot neuro-osteoarthropathy carries a significant worldwide disease burden including diabetic foot infection, ulceration and amputation. The current accepted standard of treatment during the active phase of Charcot neuro-osteoarthropathy is offloading with total contact casting; however, controversy remains regarding weight-bearing status during this period. Methods: A systematic review was performed following PRISMA guidelines of Pubmed, EMBASE, MEDLINE and the Cochrane central register of controlled trials for clinical studies from inception until June 2024 investigating weight-bearing and non-weight-bearing total contact casting for active Charcot neuro-osteoarthropathy. Results: Four hundred ninety-three studies were identified in the search strategy of which 5 studies met the inclusion criteria comprising 158 patients. These studies found that allowing patients to weight-bear during total contact casting does not have a negative impact on the healing process. There were no comparative studies between weight-bearing and non-weight-bearing total contact casting. Conclusions: There is limited evidence to support current practice of non-weight bearing in a total contact casting for active Charcot neuro-osteoarthropathy. Allowing patients to weight bear carries advantages to patient independence and quality of life. Further investigation with randomised control trial should be considered to investigate if weight bearing is associated with negative outcomes. |
| format | Article |
| id | doaj-art-5e57fb1f97bd4d06b2e279cbe3565155 |
| institution | OA Journals |
| issn | 2050-3121 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj-art-5e57fb1f97bd4d06b2e279cbe35651552025-08-20T02:36:45ZengSAGE PublishingSAGE Open Medicine2050-31212024-12-011210.1177/20503121241306957Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic reviewRachna Prem0Vikramman Vignaraja1Thomas Lewis2Basil Budair3Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UKKing’s Foot and Ankle Unit, King’s College Hospital NHS Foundation Trust, London, UKKing’s Foot and Ankle Unit, King’s College Hospital NHS Foundation Trust, London, UKRoyal Orthopaedic Hospital, Birmingham, UKAim: Diabetic Charcot neuro-osteoarthropathy carries a significant worldwide disease burden including diabetic foot infection, ulceration and amputation. The current accepted standard of treatment during the active phase of Charcot neuro-osteoarthropathy is offloading with total contact casting; however, controversy remains regarding weight-bearing status during this period. Methods: A systematic review was performed following PRISMA guidelines of Pubmed, EMBASE, MEDLINE and the Cochrane central register of controlled trials for clinical studies from inception until June 2024 investigating weight-bearing and non-weight-bearing total contact casting for active Charcot neuro-osteoarthropathy. Results: Four hundred ninety-three studies were identified in the search strategy of which 5 studies met the inclusion criteria comprising 158 patients. These studies found that allowing patients to weight-bear during total contact casting does not have a negative impact on the healing process. There were no comparative studies between weight-bearing and non-weight-bearing total contact casting. Conclusions: There is limited evidence to support current practice of non-weight bearing in a total contact casting for active Charcot neuro-osteoarthropathy. Allowing patients to weight bear carries advantages to patient independence and quality of life. Further investigation with randomised control trial should be considered to investigate if weight bearing is associated with negative outcomes.https://doi.org/10.1177/20503121241306957 |
| spellingShingle | Rachna Prem Vikramman Vignaraja Thomas Lewis Basil Budair Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review SAGE Open Medicine |
| title | Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review |
| title_full | Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review |
| title_fullStr | Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review |
| title_full_unstemmed | Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review |
| title_short | Weight bearing versus non-weight bearing total contact cast in the management of active Charcot foot: A systematic review |
| title_sort | weight bearing versus non weight bearing total contact cast in the management of active charcot foot a systematic review |
| url | https://doi.org/10.1177/20503121241306957 |
| work_keys_str_mv | AT rachnaprem weightbearingversusnonweightbearingtotalcontactcastinthemanagementofactivecharcotfootasystematicreview AT vikrammanvignaraja weightbearingversusnonweightbearingtotalcontactcastinthemanagementofactivecharcotfootasystematicreview AT thomaslewis weightbearingversusnonweightbearingtotalcontactcastinthemanagementofactivecharcotfootasystematicreview AT basilbudair weightbearingversusnonweightbearingtotalcontactcastinthemanagementofactivecharcotfootasystematicreview |