Key result
Gap and cast indices were not significant predictors of loss of reduction at three weeks in adult patients with diaphyseal fractures of both bones of the leg (p=0.193 and p=0.485, respectively).
Why the study?
Do gap and cast indices predict loss of reduction in diaphyseal fractures of both bones of the leg managed with plaster cast?
Cohort (n=40)
Do gap and cast indices predict loss of reduction in diaphyseal fractures of both bones of the leg managed with plaster cast?
Answers are grounded in this paper and cite their sources.
Gap and cast indices are not useful predictors for assessing the adequacy of reduction or future loss of reduction in leg diaphyseal fractures managed with plaster casts.
Introduction: Non-operative management has successfully been practised for long in diaphyseal fractures of both bones of the leg.This study attempts to establish an acceptability criteria for plaster cast in order to predict future loss of reduction and its adequacy.Materials and Methods: A total of forty subjects were included as per inclusion-exclusion criteria.Gap and cast indices were calculated in the immediate post reduction phase and at third week follow-up visit. Results:The mean values of gap and cast indices in the immediate post-reduction phase were 0.35±0.220and 0.99±0.08respectively and at the third week follow-up the mean value for both the parameters in those without loss of reduction were 1.11±0.50and 1.03±0.09respectively and in those with loss of reduction were 0.84±0.44 and 1.01±0.06respectively.Conclusion: Gap and cast indices are not informative in assessing adequacy of reduction in diaphyseal fractures of both bones of the leg.
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Shalabh et al. (2018) conducted a cohort in Diaphyseal fractures of both bones of the leg (n=40). Gap and cast indices vs. Patients without loss of reduction was evaluated on Loss of reduction at 3 weeks (p=0.193 and 0.485). Gap and cast indices were not significant predictors of loss of reduction at three weeks in adult patients with diaphyseal fractures of both bones of the leg (p=0.193 and p=0.485, respectively).
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