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Plaster for fracture11/6/2023 ![]() This makes sure the cast does not become too tight. Sometimes your healthcare provider will make cuts in the full cast or cut it in half lengthwise. Your limb (arm or leg) may swell for the first day or so. The cast can be made of different materials, such as: The material will harden to form a hard, protective shell. Casting material is then dipped in water, before being rolled like a bandage over the padding. Your healthcare provider will first wrap the injured area in soft cotton or a bandage. How is a cast put on?Ĭasts are always put on by a healthcare professional. While you have a cast, there are important things you should do to care for it. Once the bone is held still by the cast, it should heal by itself.Ī healthcare professional will put your cast on and take it off. A cast holds your injured bone in place while it heals. ![]() Related information on Australian websitesĪ cast is a hard, protective cover that is wrapped around a broken or fractured bone.You should never try to take a cast off yourself. Once your bone has healed, the cast is taken off using a special saw.If you don’t look after your cast, it can impact how your injury heals and make the healing process uncomfortable.Follow any cast-care instructions you receive from your healthcare professional.Casts can be made of different materials, such as plaster of Paris or fibreglass.Key words: pediatric tibia fracture, radiographic union score for tibial fracture (RUST), modified RUST, radiographic union, reliability. The presence of a plaster of Paris on the extremity did not adversely affect the inter-observer and intra-observer agreement of the RUST and mRUST scoring systems. CONCLUSIONS Our study showed that both RUST and mRUST scoring systems are useful tools that can be used safely assessing fracture healing in both pediatric and adult tibia fractures. We hypothesized that the plaster of Paris makes it difficult to assess fracture union on direct radiographs and reduce the reliabilities of these scoring systems in pediatric tibial fractures. To our knowledge, there are no studies investigating the reliability of RUST and mRUST systems in conservatively treated pediatric tibial fractures. It has been shown in previous studies that the RUST and mRUST scoring systems can be used safely in the evaluation of fracture healing in adult patients with tibia fracture treated with intra-medullary nailing. DISCUSSION The decision of union in tibia shaft fractures is based on repeated clinical and radiological evaluations but there are no universally accepted guidelines to evaluate radiographic union. The mean intra-observer reliability of decision on union was 0.842 (0.638-1.000) in adult fractures and 0.785 (0.611-0.977) in pediatric fractures, respectively. ![]() The mean intra-observer agreement of mRUST system was 0.842(0.745-0.979) in adult fractures and 0.857 (0.756-0.932) in pediatric fractures, respectively. The mean intra-observer reliability of RUST system in adult tibia fractures was 0.860 (0.674-0.968) and 0.818 (0.693-0.909) in pediatric tibia fractures, respectively. However, in deciding fracture consolidation, inter-observer agreement was found to be 'perfect' in pediatric tibia fractures, while it was 'substantial' in adult fractures in both assessments. RESULTS The inter-observer agreement of RUST and mRUST were 'perfect' in adult tibia fractures and 'substantial' in pediatric tibia fractures in both evaluations. The radiographs were assessed twice with an interval of three weeks by an observer group consisting of four senior orthopedic surgeons and four orthopedic residents, and fractures were evaluated according to the RUST and mRUST scoring systems. Forty-seven good quality AP and lateral radiographs (represent different healing stages) each for pediatric and adult fracture groups were selected and were included in two PPTs separately. MATERIAL AND METHODS Between January 2016 and January 2020, the informations of patients (ages of 4-10) with tibia fractures treated with closed reduction and casting and patients (aged 18-65 years) with tibia fractures treated with intramedullary nailing were analyzed retrospectively. PURPOSE OF THE STUDY The aim of our study is to investigate the reliabilities of the radiographic union score for tibial fracture (RUST) and modified RUST scoring systems in the evaluation of fracture healing in adult tibia fractures treated with intramedullary nailing and pediatric tibia fractures treated with closed reduction and cast immobilization and to compare the reliabilities between two groups.
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