- Training
- 08/09/2025
- UK
Total Contact Casting for Acute Charcot Neuropathy
Description
Mr Donatas Chlebinskas gives his expert insights and discusses the management of acute Charcot neuroarthropathy, emphasizing the importance of non-removable knee-high offloading, preferably through the use of a total contact cast (TCC). He highlights strong support from international diabetic foot guidelines for starting TCC immediately, as it notably reduces deformity progression and speeds up ulcer healing compared to removable devices. New evidence from 2023 to 2025 suggests that protected weight-bearing with aids may also be a viable option, challenging the strict adherence to non-weight bearing. While TCC can lead to complications such as skin sores and balance issues, it remains the gold standard in treatment.
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