Some Historical Treatments should not be Forgotten: A Review of Cast Wedging and A Trick to Normalize Non-Standardized Digital X-rays.
BACKGROUND
Cast wedging is a simple and reproducible method of manipulating a sub-optimally reduced fracture producing a correction and a final alignment that is amenable to definitive closed treatment. Multiple successful techniques have been previously described in the literature (opening wedge, closing wedge and combination).


METHODS
We present a simple reproducible method of templating and executing a proper cast wedging technique using digital imaging systems that are not controlled for magnification with an illustrative case.


CONCLUSIONS
Renewed interest in cast wedging can provide a cost effective treatment with proven clinical outcomes in an ever changing and uncertain reimbursement climate.
Wayne State University Orthopaedics, 10000 Telegraph Road, Taylor, MI 48124.
Nathan A
NA
Jacobson
Wayne State University Orthopaedics, 10000 Telegraph Road, Taylor, MI 48124.
Christopher L
CL
Lee
Cast Wedging; Closed Fracture Treatment; Manipulation; Non-op; Reduction; Technique; Wedging; conservative management