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Study Papers | Orthopedic | India | Volume 12 Issue 5, May 2023

Role of Cast Wedging in Conservative Management of Both Bone Leg Fracture

Dr. Shekhar Gupta | Dr. Anshuman Dutta | Dr. Vikash Agarwala | Dr. Tridip Bharali

Abstract: Introduction: Both bone leg fracture is one of the most frequent fracture in adults. The goal of any treatment is to restore length, rotation and axis of the bone to recover full function. Often these injuries can be treated with closed reduction, cast immobilization and clinical or radiological follow up. Wedging of plaster casts is a method of manipulating mal-aligned long bone fracture that are being treated non-operatively. It is simple and non-invasive treatment procedure for secondary displaced long bone fracture. Method: We performed prospective chart reviews of patient with both bone leg fracture which was managed with cast. Inclusion criteria included closed fracture, loss of acceptable reduction, and availability of clinical and radiological data from injury to cast removal. Reduction was performed and patient were called for follow up. Initially within 5 to 10 days post injury and weekly visits for 2 weeks thereafter. If alignment were deemed unacceptable within 3 weeks of injury, cast wedging was done. Result: Cast wedge failures occurred in 4 of 36 patients out of which 1 patient required surgical fixation & 3 patients ended up with healed deformity. Conclusion: Cast wedging is a simple, safe, non invasive and effective method for correction of angulation in conservative managed both bone leg fracture.

Keywords: Cast wedging, Reduction, Manipulation, Conservative management

Edition: Volume 12 Issue 5, May 2023,

Pages: 2629 - 2632