Removal of a below knee plaster cast worn for 28 months: a case report

INTRODUCTION: An unusual situation in which a below knee cast was removed after 28 months is reported. To the best of our knowledge no similar cases have been reported in the literature. CASE PRESENTATION: The cast was removed from the leg of a 45-year-old Caucasian woman. Significant muscle atrophy and dense skin scales were present but the underlying skin surface was relatively healthy with only small pitted 1-2 mm ulcers. No pathogenic organisms were cultured from this environment. CONCLUSION: It seems likely that skin can tolerate cast immobilization for prolonged duration.