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American Academy of Pediatrics
Orthopaedics

Home Cast Removal for Stable Pediatric Forearm Fractures

AAP Grand Rounds April 2014, 31 (4) 38; DOI: https://doi.org/10.1542/gr.31-4-38
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Source: Hamilton TW, Hutchings L, Alsousou J, et al. The treatment of stable paediatric forearm fractures using a cast that may be removed at home. Bone Joint J. 2013; 95-B( 12): 1714– 1720; doi: 10.1302/0301-620X.95B12.31299OpenUrlCrossRefPubMed

PICO

Question: Among children with stable forearm fractures, how does use of a semi-rigid fiberglass cast that can be removed at home compare to use of a conventional cast that is removed in the clinic, with regard to functional outcome, cost, and user satisfaction?

Question type: Intervention

Study design: Noninferiority randomized trial

Investigators from the University of Oxford in the United Kingdom sought to determine if a semi-rigid fiberglass cast (flexible cast) that could be removed by parents at home would be as clinically effective, cost-efficient, and acceptable to the patient and parent as management using a conventional nonflexible fiberglass cast that is removed at a clinic. Children (aged 2–16 years) with stable distal forearm fractures (torus fractures and greenstick fractures <15° angulated in the sagittal plane and Salter-Harris I and …

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AAP Grand Rounds
Vol. 31, Issue 4
1 Apr 2014
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Home Cast Removal for Stable Pediatric Forearm Fractures
AAP Grand Rounds Apr 2014, 31 (4) 38; DOI: 10.1542/gr.31-4-38

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Home Cast Removal for Stable Pediatric Forearm Fractures
AAP Grand Rounds Apr 2014, 31 (4) 38; DOI: 10.1542/gr.31-4-38
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