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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
95° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) (La Spezia, September 04-05, 1998)
Minerva Ortopedica e Traumatologica 2000 February;51(1):9-12
The current role of functional casting in the treatment of high energy lower limb fractures
Biggi F., Costacurta G., D'Andrea S., Gios C., Scalco E.
Background. This study aimed to define the current role of functional casting in the treatment of high energy lower limb fractures.
Methods. A retrospective study was performed for this purpose in 45 patients (31 males and 14 females) aged between l7 and 62 years old with diaphyseal femoral and tibial fractures treated at two different centres (Istituto Gaetano Pini - Milan; UOA Orthopedics and Traumatology - Asiago Hospital) and monitored by the first author, with a follow-up ranging between 12 months and 15 years. All patients underwent ''minimal'' osteosynthesis or FEA, or trans-skeletal traction prior to functional casting.
Results. Clinical and radiographical recovery was obtained in all cases within 8-36 weeks, with a scarce incidence of complications.
Conclusions. The data obtained confirm that functional casting may be useful in the treatment of high energy lower limb fractures, above all if associated with ''minimal'' osteosynthesis techniques, in those cases where initial treatment has not resulted in clinical and radiographic recovery and if the patient cannot undergo further surgery for a variety of reasons.