ArticleArchives of orthopaedic and trauma surgery2025
The influence of casting techniques on the redisplacement risk of reduced distal radius fractures in adults.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Comparative Discriminative Performance of Cast, Gap, and Three-Point Indices in Predicting Malunion in Elderly Patients with Conservatively Treated Distal Radius Fractures.Medicina (Kaunas, Lithuania) · 2026Article
- Comparison of treatment modalities for distal radius fractures in terms of functional outcomes pain management and grip strength.Scientific reports · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
Abstract
introductionSuccessfully reduced distal radius fractures (DRFs) often redisplace while casted. Poor cast moulding might be a risk factor for redisplacement of DRFs. This study aims to assess whether cast moulding quality, as determined by casting indices, impact the risk of redisplacement. Also, we assessed the influence of the cast applicant and the material used on the redisplacement risk. MATERIALS AND
methodsWe retrospectively reviewed cases from a prospective cohort (trial registration NL8311). We included 172 adequately reduced and circumferentially casted DRFs with a complete two-week radiographic follow-up. Fracture alignment was measured on all radiographs (trauma, post-reduction and follow-up) in accordance with the Dutch guideline for DRFs. When unacceptably aligned after 2 weeks, the DRF was labelled as redisplaced. Cast moulding quality was measured using the Three Point Index (TPI), Cast Index (CI) and Gap Index (GI). A TPI > 0.8, CI > 0.7 and GI > 0.15 implicates poor cast moulding. Multivariable logistic regression was used to examine the influence of cast moulding quality, cast applicant and casting material on the redisplacement risk. We corrected for patient age, intra-articular involvement, the degree of radial inclination and radial shortening.
resultsRedisplacement occurred in 40% of DRFs. The mean index scores were poor (TPI 0.94, CI 0.85, GI 0.22), indicating generally suboptimal cast moulding quality. None of the cast indices were significantly associated to redisplacement (OR [95% CI]: TPI 1.2 [0.6 to 2.5], CI 2.4 [0.7 to 15.7], GI 1.6 [0.7 to 4.0]). DRFs casted by nurse practitioners had significantly lower odds of redisplacement compared to those casted by emergency room nurses. Type of casting (synthetic versus plaster of Paris) was not associated with redisplacement.
conclusionsCast moulding quality, measured using cast indices, is not associated with redisplacement of reduced DRFs. Casts applied by nurse practitioners redisplaced significantly less often. LEVEL OF EVIDENCE: Therapeutic Studies level III.
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