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. 2018 Dec 19;2018(12):CD012470. doi: 10.1002/14651858.CD012470.pub2

3. Below‐elbow versus above‐elbow casts trials: participant and intervention characteristics.

Study ID No. participants
Age
Fracture type Below‐elbow cast Above‐elbow cast Duration of use
Bohm 2006 117
Mean: 8.6 years; range 4 to 12 years (eligible)
Displaced closed fracture of the distal third of the forearm (radial or radial and ulnar; no isolated distal ulnar fractures).
 Manual reduction Full below‐elbow plaster cast Above‐elbow plaster cast (below‐elbow applied first; then cast extended). Casts removed after 6 weeks
Colaris 2012 66
Mean: 7.1 years; < 16 years
Minimally displaced metaphyseal fracture of the radius and ulna Below‐elbow plaster cast (non‐circumferential). Above‐elbow plaster cast (non‐circumferential) Casts removed after 4 weeks
Paneru 2010 89
Mean: 8.4 years; range 4 to 12 years (eligible)
Displaced closed distal forearm fractures (combined radius and ulna fracture)
 Closed reduction Full below‐elbow plaster cast Above‐elbow plaster cast (below‐elbow applied first; then cast extended) Not stated, probably casts removed after 6 to 8 weeks dependent on detection of union
Webb 2006 127
Mean: 9.8 years; range 4 to 12 years
Displaced (partially or completely) closed fracture of the distal third of the forearm (radial or radial and ulnar; no isolated distal ulnar fractures)
 Manual reduction Full below‐elbow plaster cast Above‐elbow plaster cast (below‐elbow applied first; then cast extended). Casts removed after 4 weeks if evidence of healing. Otherwise extended 2 weeks (above‐elbow casts cut to below‐elbow)