Cast wedging: a systematic review of the present evidence.
- Gaukel S Department of Orthopaedics and Traumatology, Cantonal Hospital Winterthur, Switzerland.
- Leu S University of Zurich, Switzerland.
- Fink L Department of Mathematics, Cantonal School of Wil, St. Gallen, Switzerland.
- Skovgaard SR University of Colorado Denver, Denver, Colorado, USA.
- Ramseier LE Paediatric Orthopaedics, Hirslanden Zurich, Switzerland.
- Vuille-Dit-Bille RN Department of Pediatric Surgery, Children's Hospital Colorado, Aurora, Colorado, USA.
- 2017-10-31
Published in:
- Journal of children's orthopaedics. - 2017
English
PURPOSE
The objective of this systematic review was to summarise the outcome after cast wedging due to loss of angulation in conservative fracture treatment of children's fractures.
METHODS
Electronic searches were performed using MEDLINE, PubMed, OVID, CENTRAL and EMBASE without language restrictions.
RESULTS
Three studies comprising 316 patients (210 radius, 52 forearm/both bone forearm fractures and 54 tibia fractures) were included in the present analysis. Cast wedge failures occurred in 14 of 316 (4.4%) patients. Three patients (0.9%) needed surgical fixation and 11 patients (3.4%) ended up with a healed deformity. Furthermore, eight of 316 (1.8%) patients needed remanipulation and cast change.
CONCLUSION
Cast wedging reflects a reliable treatment option for secondary displaced long-bone paediatric fractures.
The objective of this systematic review was to summarise the outcome after cast wedging due to loss of angulation in conservative fracture treatment of children's fractures.
METHODS
Electronic searches were performed using MEDLINE, PubMed, OVID, CENTRAL and EMBASE without language restrictions.
RESULTS
Three studies comprising 316 patients (210 radius, 52 forearm/both bone forearm fractures and 54 tibia fractures) were included in the present analysis. Cast wedge failures occurred in 14 of 316 (4.4%) patients. Three patients (0.9%) needed surgical fixation and 11 patients (3.4%) ended up with a healed deformity. Furthermore, eight of 316 (1.8%) patients needed remanipulation and cast change.
CONCLUSION
Cast wedging reflects a reliable treatment option for secondary displaced long-bone paediatric fractures.
- Language
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- English
- Open access status
- gold
- Identifiers
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- DOI 10.1302/1863-2548.11.170109
- PMID 29081856
- Persistent URL
- https://folia.unifr.ch/global/documents/69187
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