A Pilot Study on Evaluation of Cast Splitting on Lower Leg Compartment Pressure: Identifying the Most Effective Splitting Technique

Description

In this presentation, Sharan Sambhwani discusses a pilot study evaluating different cast splitting techniques on lower limb compartment pressures. The motivation for the study arose from observed variations in clinical practices among clinicians, and a lack of consensus in existing literature regarding the most effective splitting technique. Three methods were compared: single split, tramline, and bivalve, using pressure measurements from compartments of a below-knee fiberglass cast.



The study measured pressure at each compartment during the splitting process, noting significant pressure reductions across all methods used. A key conclusion drawn from the data was that the bivalve technique was notably more effective than the others at reducing pressure, particularly at the skin level. Sharan emphasizes the need for further research involving diverse populations to enhance clinical guidelines and practices surrounding cast management. The presentation concludes with gratitude toward the BOFAS for hosting the study and recognizes all contributors involved.

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