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
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author Gaukel, S.
Leu, S.
Fink, L.
Skovgaard, S. R.
Ramseier, L. E.
Vuille-dit-Bille, R. N.
author_facet Gaukel, S.
Leu, S.
Fink, L.
Skovgaard, S. R.
Ramseier, L. E.
Vuille-dit-Bille, R. N.
author_sort Gaukel, S.
collection PubMed
description 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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spelling pubmed-56439352017-10-27 Cast wedging: a systematic review of the present evidence Gaukel, S. Leu, S. Fink, L. Skovgaard, S. R. Ramseier, L. E. Vuille-dit-Bille, R. N. J Child Orthop Systematic Review 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 British Editorial Society of Bone and Joint Surgery 2017-10-01 /pmc/articles/PMC5643935/ /pubmed/29081856 http://dx.doi.org/10.1302/1863-2548.11.170109 Text en Copyright © 2017, The British Editorial Society of Bone and Joint Surgery: All rights reserved http://creativecommons.org/licenses/by-nc/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Systematic Review
Gaukel, S.
Leu, S.
Fink, L.
Skovgaard, S. R.
Ramseier, L. E.
Vuille-dit-Bille, R. N.
Cast wedging: a systematic review of the present evidence
title Cast wedging: a systematic review of the present evidence
title_full Cast wedging: a systematic review of the present evidence
title_fullStr Cast wedging: a systematic review of the present evidence
title_full_unstemmed Cast wedging: a systematic review of the present evidence
title_short Cast wedging: a systematic review of the present evidence
title_sort cast wedging: a systematic review of the present evidence
topic Systematic Review
url 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
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