Healing times in common offloading modalities
Offloading modality | Mean healing time (days) | Type of study | % healed | Type of wound | Ref. |
---|---|---|---|---|---|
TCC | Forefoot ulcers: 30; rearfoot-midfoot ulcers: 63 | Retrospective cohort* | 90 | Wagner 1, 2 | 18 |
TCC | Forefoot ulcers: 31; rearfoot-midfoot ulcers: 42 | Retrospective cohort* | — | Wagner 1, 2, 3 | 4 |
TCC | 40 | Retrospective cohort* | 94 | Wagner 1, 2 | 24 |
TCC | 38 | Retrospective cohort* | 73 | Wagner 1, 2, 3 | 3 |
TCC | 44 | Retrospective cohort* | 82 | Wagner 1, 2 | 6 |
TCC | Midfoot ulcers: 28 | Retrospective cohort* | 100 | Wagner 1, 2 | 23 |
TCC | 34 | RCT† | 90 | UT 1A | 9 |
RCW | 50 | 65 | |||
Half-shoe | 61 | 58 | |||
TCC | 42 | RCT† | 90 | Wagner 1, 2 | 7 |
Shoe-insole | 65 | 32 | |||
Removable cast boot | 48 | RCT† | 35 | UT 1A | 16 |
Fiberglass cast shoe | 34 | Retrospective cohort | 91 | Wagner 1 | 19 |
Fiberglass cast | — | RCT‡ | 50 | Wagner 1 | 20 |
Shoe | 21 | ||||
Scotch cast boot | 112, 181 | Retrospective cohort* | 80 | Wagner 1, 2, 3 | 25 |
Windowed fiberglass cast | 69 | Prospective cohort* | 81 | UT 2A | 21 |
Half-shoe | 134 | 70 | UT 1A | 21 | |
Half-shoe | 70 | Prospective cohort* | 96 | Wagner 1, 2, 3, 4 | 27 |
Custom splint | 300 | Retrospective cohort* | — | — | 22 |
Felted foam dressing | 75 | RCT§ | — | Wagner 1, 2 | 26 |
Half-shoe | 85 | ||||
TCC | 48 | Prospective cohort† | 92 | Wagner 1, 2, 3 | 28 |
Padded dressing | 36 | 93 | |||
Healing shoe | 42 | 81 | |||
Walking splint | 51 | 83 |