Cast wedging: a systematic review of the present evidence

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 restrict...

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Detalles Bibliográficos
Autores principales: Gaukel, S., Leu, S., Fink, L., Skovgaard, S. R., Ramseier, L. E., Vuille-dit-Bille, R. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Editorial Society of Bone and Joint Surgery 2017
Materias:
Systematic Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643935/
https://www.ncbi.nlm.nih.gov/pubmed/29081856
http://dx.doi.org/10.1302/1863-2548.11.170109
Descripción
Sumario: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.

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