Cast-Related Complications

Orthop Clin North Am. 2021 Jul;52(3):231-240. doi: 10.1016/j.ocl.2021.03.005.

Abstract

Despite advances in surgical techniques and technology, casting remains an important treatment modality in the armamentarium of orthopedic surgery. Opportunities for skill development and complication management are a decreasing commodity for the surgeon in training. Appropriate indications for casting and technical expertise of cast application are key to complication avoidance. Prompt recognition and evaluation of potential complications are key to optimizing patient outcomes. Following the lead of the American Board of Orthopedic Surgery Resident Skills Modules, we implore teaching institutions to develop and maintain robust teaching programs, skills acquisitions laboratories, and assessments for confirmation of competency for all residency programs.

Keywords: Cast; Cast saw; Compartment syndrome; Complication; Decubitus; Thermal injury.

Publication types

  • Review

MeSH terms

  • Casts, Surgical / adverse effects*
  • Clinical Competence
  • Humans
  • Internship and Residency
  • Orthopedic Procedures* / adverse effects
  • Orthopedic Procedures* / instrumentation
  • Orthopedic Procedures* / methods
  • Orthopedic Procedures* / standards
  • Orthopedics / education
  • Orthopedics / standards
  • Pressure Ulcer