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Nonoperative treatment involves application of a cast brace with or without a period in skeletal traction.
Postoperatively, a special boot named a "Unna paste boot" was utilized after 6 weeks in a cast brace [6].
The operated extremity was protected with functional cast brace for 4 weeks after removal of the fixator.
After applying the exclusion and inclusion criteria, only one relevant study comparing conservative treatment with a cylinder cast, brace and posterior splint remained (Mäenpää et al).
After removal of the frame, the tibia was protected in a below knee cast for 4 6 weeks and, for the femur, a cast brace for the same length of time.
In summary, conservative management using a hinged cast brace and restricted weightbearing may be advocated if the fracture is found to be undisplaced and the component is thought to be stable based on radiographic evidence (type I fractures).
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Hinged cast bracing was sequentially used in two patients (one for a Parkinsonism patient and another for a proximal wire loosening due to clamp failure requiring early removal of fixator).
Avoid wrecking: Crash, pile-up, fiery inferno, Ambulances, hospitals, Fractures, body cast, braces, scars, surgery, recovery, Paraplegic, rehabilitation, quadriplegic, Visitations, funerals, hearses, Accidental deaths, manslaughter, accidental homicides... Think of not wrecking your car and about those possibilities of injury.
One significant thrombotic risk factor in both surgical and non-surgical interventions (lower limb plaster casts, brace, splints or appliance) is the length of time before the patient returns to normal ambulation.
The knee must be immobilized with a cast or brace for six weeks or longer, while the patient uses crutches.
A navicular cast or brace is usually used.
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