| Cast and splint immobilization: complications. | |
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MedLine Citation:
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PMID: 18180390 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Matthew Halanski; Kenneth J Noonan |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of the American Academy of Orthopaedic Surgeons Volume: 16 ISSN: 1067-151X ISO Abbreviation: J Am Acad Orthop Surg Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2008-01-08 Completed Date: 2008-02-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9417468 Medline TA: J Am Acad Orthop Surg Country: United States |
Other Details:
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Languages: eng Pagination: 30-40 Citation Subset: IM |
Affiliation:
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Helen DeVos Children's Hospital, Grand Rapids, MI, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Casts, Surgical
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adverse effects* Compartment Syndromes / etiology Contracture / etiology Fracture Fixation / adverse effects, methods Humans Paralysis / etiology Skin Diseases / etiology Splints / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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