[Treatment of redislocated fragments of long bones using plaster cast wedging]

The authors wish to remind of the advantages of an old conservative therapeutic method used in redislocated long bone fractures--cast wedging, Gipskeilung. This mode of treatment makes it possible to restore axial as well as planar dislocation and it is used in corrections of redislocated fractures of the leg and is applied during the last 3 years also in the treatment of fractures of the forearm in children. In 1997-2000 this procedure was used for treatment at the Clinic of Paediatric Surgery, Orthopaedics and Traumatology, 33 children aged 3-16 years, with a redislocated fracture of the leg, 21 children aged 3-16 years, mean age 9.8 years, and with a redislocated fracture of the forearm 12 children aged 5-15 years, mean age 10.2 years. In no instance this treatment failed or was associated with serious complications. According to experience with our group of patients a method is involved which in correct indications holds a justified place in treatment of fractures of the leg and forearm in traumatology of child an adolescent age.