Cast and splint immobilization: Complications

Matthew Halanski, Kenneth J. Noonan

Research output: Contribution to journalArticle

94 Scopus citations

Abstract

During the past three decades, internal fixation has become increasingly popular for fracture management and limb reconstruction. As a result, during their training, orthopaedic surgeons receive less formal instruction in the art of extremity immobilization and cast application and removal. Casting is not without risks and complications (eg, stiffness, pressure sores, compartment syndrome); the risk of morbidity is higher when casts are applied by less experienced practitioners. Certain materials and methods of ideal cast and splint application are recommended to prevent morbidity in the patient who is at high risk for complications with casting and splinting. Those at high risk include the obtunded or comatose multitrauma patient, the patient under anesthesia, the very young patient, the developmentally delayed patient, and the patient with spasticity.

Original languageEnglish (US)
Pages (from-to)30-40
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume16
Issue number1
DOIs
StatePublished - Jan 2008

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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