Does circumferential casting prevent fracture redisplacement in reduced distal radius fractures? A retrospective multicentre study

A. C. Berger, Britt Barvelink, M. Reijman, Taco Gosens, G. A. Kraan, M. R. De Vries, M. H.J. Verhofstad, K. W.W. Lansink, P. F.W. Hannemann, J. W. Colaris*

*Corresponding author for this work

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Abstract

Background: This study evaluates whether a circumferential cast compared to a plaster splint leads to less fracture redisplacement in reduced extra-articular distal radius fractures (DRFs). Methods: This retrospective multicentre study was performed in four hospitals (two teaching hospitals and two academic hospitals). Adult patients with a displaced extra-articular DRF, treated with closed reduction, were included. Patients were included from a 5-year period (January 2012–January 2017). According to the hospital protocol, fractures were immobilized with a below elbow circumferential cast (CC) or a plaster splint (PS). The primary outcome concerned the difference in the occurrence of fracture redisplacement at one-week follow-up. Results: A total of 500 patients were included in this study (PS n = 184, CC n = 316). At one-week follow-up, fracture redisplacement occurred in 52 patients (17%) treated with a CC compared to 53 patients (29%) treated with a PS. This difference was statistically significant (p = 0.001). Conclusion: This study suggests that treatment of reduced DRFs with a circumferential cast might cause less fracture redisplacement at 1-week follow-up compared to treatment with a plaster splint. Level of Evidence Level III, Retrospective study.

Original languageEnglish
Article number722
JournalJournal of Orthopaedic Surgery and Research
Volume16
Issue number1
DOIs
Publication statusPublished - 20 Dec 2021

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