Page 146 - ASOP Orthopedic Casting Manual

3.5.3 Conclusion

Fracture Diagnosis Process

A long leg cylinder cast plays an essential role in stabilizing knee and proximal
tibia fractures that do not require immediate surgical inter vention. By maintaining

knee ex tension and limiting motion, an LLCC facilitates healing while reducing
pain, preventing defor mit y, and minimizing complications. Proper patient
selection, ear ly imaging, and rehabilitation planning are critical in ensuring
optimal recover y and functional outcomes. While LLCC remains a mainstay in

conser vative or thopedic management, it is imperative to monitor fracture
stabilit y, assess for associated ligamentous or vascular injuries, and ensure
gradual retur n to mobilit y post-immobilization. As advancements in or thopedic

surger y and rehabilitation continue to evolve, the role of ear ly functional
movement post-casting is becoming increasingly recognized in achieving the
best possible outcomes.

References

• Bucholz, R. W., Heckman, J. D., Cour t-Brown, C. M., Tor netta, P., Rockwood,
C. A., & Green, D. P. L2021M. Rockwood and Greenʼs fractures in adul ts L9 th
ed.). Lippincott Williams & Wilkins.

• Cour t-Brown, C. M., Rimmer, S., Prakash, U., & McQueen, M. M. L2021M.
Epidemiology of adul t fractures L2nd ed.). Elsevier.

• Moore, K. L., Dalley, A. F., & Agur, A. M. R. L2020M. Clinically oriented anatomy
L8th ed.). Wol ters Kluwer.