A randomized controlled trial comparing above elbow cast for 6 weeks versus 3 weeks followed by below elbow cast for 3 weeks in treatment of diaphyseal fracture both bone forearm in children

Background and Objectives : Forearm fractures are common. Above elbow cast applied for 6 weeks may lead to stiffness. This study compared outcomes of above elbow cast (AEC) for 6 weeks vs. AEC for 3 weeks followed by below elbow cast (BEC) for 6 weeks. Materials and Methods : Eligible patients were randomised into two groups i.e. AEC for 6 weeks and AEC for 3 weeks followed by BEC for 3 weeks. Study period was 15 months.  Patients were treated by closed reduction and AEC. Patients in second group had their cast converted to BEC at 3 weeks. Cast comfort noted with VAS. At 12 weeks elbow and forearm movements were measured. Result : Limitations in elbow and forearm movements, union and complications were not statistically significant Conclusion : AEC for 3 weeks followed by BEC for 3 weeks is as effective as AEC for 6 weeks.