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[Primary definitive cast therapy on the upper and lower extremities. Indications and cost analysis].

作者信息

Dresing K, Schleikis A, Stürmer K M

机构信息

Klinik für Unfallchirurgie, Plastische und Wiederherstellungschirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Strasse 40, Göttingen, Germany.

出版信息

Chirurg. 2009 Mar;80(3):223-30. doi: 10.1007/s00104-008-1636-1.

DOI:10.1007/s00104-008-1636-1
PMID:19002420
Abstract

BACKGROUND

Soft cast (SC) is a semirigid cast material which opened new possibilities for fracture care in adults and children. The primary definitive cast technique (PDCT) with SC is a new casting method that uses a combination of fiberglass and polyurethane resin. Time, personnel, and material costs for producing plaster casts using the conventional technique (primary plaster cast and secondary hard cast, or POPHC) were prospectively compared with PDCT using SC on upper and lower extremities.

METHODS

Time, personnel, and material costs for producing plaster casts using the conventional technique (primary plaster cast and secondary hard cast, or POPHC) were prospectively compared with PDCT using SC on upper and lower extremities.

RESULTS

Compared with PDCT, the costs for POPHC were always higher: 138% for upper arm casts, 142% for lower arm and scaphoid casts, 219% for ankle joint casts, 157% for ankle splints, 336% for first-toe bandage/orthesis, and 289% for geisha shoes.

CONCLUSION

The procedure using PDCT with SC can contribute to cost savings and improve patient comfort.

摘要

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1
Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains.基于人群的英格兰西米德兰兹地区急诊部门收治的踝关节扭伤流行病学研究,以及英国严重踝关节扭伤治疗实践的调查。
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2
Evaluation of fiberglass versus plaster of Paris for immobilization of fractures of the arm and leg.玻璃纤维与巴黎石膏用于固定手臂和腿部骨折的评估。
Mil Med. 2002 Aug;167(8):657-61.
3
Comparison of the results of short-term rigid and semi-rigid cast immobilization for the treatment of grade 3 inversion injuries of the ankle.
短期刚性与半刚性石膏固定治疗踝关节3度内翻损伤的结果比较
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Mechanical evaluation of a soft cast material.一种软性石膏材料的力学评估
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[Comparative studies of synthetic and nonsynthetic cast dressings].[合成与非合成石膏绷带的对比研究]
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[Experiences with using the soft cast in injuries of the fibular ligament of the upper ankle joint].
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When should a synthetic casting material be used in preference to plaster-of-Paris? A cost analysis and guidance for casting departments.
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