title: Removal of a below knee plaster cast worn for 28 months: a case report.
abstract: BACKGROUND
  An unusual situation in which a below knee cast was removed after 28 months is reported. To the best of our knowledge no similar cases have been reported in the literature.
  
  
  METHODS
  The cast was removed from the leg of a 45-year-old Caucasian woman. Significant muscle atrophy and dense skin scales were present but the underlying skin surface was relatively healthy with only small pitted 1-2 mm ulcers. No pathogenic organisms were cultured from this environment.
  
  
  CONCLUSIONS
  It seems likely that skin can tolerate cast immobilization for prolonged duration.
authors.affiliation: Department of Orthopaedics, Cumberland Infirmary, Newtown Road, Carlisle, Cumbria CA2 7HY, UK. davidelson@yahoo.com.
authors.forename: Helen
authors.initials: H
authors.lastname: Ingoe
authors.forename: Sarah
authors.initials: S
authors.lastname: Eastwood
authors.forename: David W
authors.initials: DW
authors.lastname: Elson
authors.forename: Claire F
authors.initials: CF
authors.lastname: Young