Some Historical Treatments should not be Forgotten: A Review of Cast Wedging and A Trick to Normalize Non-Standardized Digital X-rays

INTRODUCTION: Cast wedging is a simple and reproducible method of manipulating a sub-optimally reduced fracture producing a correction and a final alignment that is amenable to definitive closed treatment. Multiple successful techniques have been previously described in the literature (opening wedge, closing wedge and combination). TECHNICAL NOTE: We present a simple reproducible method of templating and executing a proper cast wedging technique using digital imaging systems that are not controlled for magnification with an illustrative case. CONCLUSION: Renewed interest in cast wedging can provide a cost effective treatment with proven clinical outcomes in an ever changing and uncertain reimbursement climate.