ArticleMalaysian orthopaedic journal2021
Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial.
Article in Malaysian orthopaedic journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Cast Removal by Soaking Reduces Infant and Parental Anxiety Without Affecting Clinical Outcomes in Ponseti-Treated Idiopathic Clubfoot: A Prospective Controlled Trial.Children (Basel, Switzerland) · 2026Article
- The Multidimensional Impact of Traditional Orthopaedic Casting and the Role of Emerging Immobilization Technologies: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Educating and Preparing Families and Distracting Patients for Cast/Splint Applications.Journal of the Pediatric Orthopaedic Society of North America · 2025Review
- A comparison of two immobilization methods in the conservative treatment of pediatric distal forearm fractures: Long arm cast versus single sugar-tong splint.Joint diseases and related surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo compare the anxiety levels demonstrated by children during cast removal procedure between oscillating saw vs cast shear methods. MATERIAL AND
methodsA randomised prospective study of 102 children (mean age 8.3 ± 3.5 years) with fractures involving upper or lower limbs. Children undergoing removal of cast were divided into 2 groups; either by an oscillating saw or a cast cutting shear. The level of anxiety was assessed by recording the heart rate with a portable fingertip pulse oximeter before, during and after removal of the cast. Objective assessment was performed by documenting the fear level on Children's Fear Scale (CFS).
resultsThere was a significant increase in the heart rate of children during cast removal while using the oscillating saw compared to cast shear (p<0.05). The noise level produced by the saw exceeded 80 dB (mean 103.3 dB). The fear level was significantly lower in the cast shear group (p<0.05).
conclusionThe noise produced by the oscillating saw was associated with an increased anxiety level in children undergoing cast removal. Cast shear is a simple and inexpensive instrument that can be used for cast removal in overly anxious children.
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