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How to Avoid Cast Saw Complications.

Matthew A Halanski1

  • 1Department of Orthopedic Surgery and Rehabilitation, University of Wisconsin-Madison, Madison, WI.

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|May 7, 2016
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Summary
This summary is machine-generated.

Cast saw injuries during pediatric cast removal can be thermal or abrasive. Proper "in-out technique" is critical to prevent burns and cuts, with perforating techniques potentially safer than cutting.

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Area of Science:

  • Pediatric Orthopaedics
  • Medical Device Safety

Background:

  • Casts are standard in pediatric orthopaedics for immobilization.
  • Cast saws are frequently used for cast removal.
  • Complications can arise from cast and cast saw use.

Purpose of the Study:

  • To review risk factors associated with cast saw injuries.
  • To identify factors contributing to thermal and abrasive injuries.

Main Methods:

  • Review of literature on cast saw injuries.
  • Analysis of risk factors for thermal and abrasive injuries.

Main Results:

  • Cast saw injuries are thermal or abrasive.
  • Thermal risks include saw specs, dull blades, thin padding, and thick materials.
  • Abrasive risks include sharp blades, thin padding, and cutting over prominences.

Conclusions:

  • Appropriate "in-out technique" is crucial to prevent burns and skin lacerations.
  • Teaching perforating techniques may reduce injury risk compared to cutting techniques.