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Cast wedging: a systematic review of the present evidence
1Department of Orthopaedics and Traumatology, Cantonal Hospital Winterthur, Switzerland.
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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