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Updated: Mar 19, 2026
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Published on: September 11, 2011
Some Historical Treatments should not be Forgotten: A Review of Cast Wedging and A Trick to Normalize
Nathan A Jacobson1, Christopher L Lee1
1Wayne State University Orthopaedics, 10000 Telegraph Road, Taylor, MI 48124.
Introduction:
Cast wedging is a simple and reproducible method of manipulating a sub-optimally reduced fracture producing a correction and a final alignment that is amenable to definitive closed treatment. Multiple successful techniques have been previously described in the literature (opening wedge, closing wedge and combination).
Technical Note:
We present a simple reproducible method of templating and executing a proper cast wedging technique using digital imaging systems that are not controlled for magnification with an illustrative case.
Conclusion:
Renewed interest in cast wedging can provide a cost effective treatment with proven clinical outcomes in an ever changing and uncertain reimbursement climate.
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