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

Helen Ingoe¹, Sarah Eastwood, David W Elson

¹Department of Orthopaedics, Cumberland Infirmary, Newtown Road, Carlisle, Cumbria CA2 7HY, UK. davidelson@yahoo.com.

Journal of Medical Case Reports

|February 24, 2011

Abstract

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.

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