Acta orthopaedica
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Randomized Controlled Trial Multicenter Study
Conversion to below-elbow cast after 3 weeks is safe for diaphyseal both-bone forearm fractures in children.
It is unclear whether it is safe to convert above-elbow cast (AEC) to below-elbow cast (BEC) in a child who has sustained a displaced diaphyseal both-bone forearm fracture that is stable after reduction. In this multicenter study, we wanted to answer the question: does early conversion to BEC cause similar forearm rotation to that after treatment with AEC alone? ⋯ Early conversion to BEC cast is safe and results in greater cast comfort.