Aftercare Sarmiento cast
Provide crutches, and encourage the patient to be out of bed within 1–2
days, and to bear weight as tolerated.
Usually full, unsupported weight bearing is achieved after 3-6 weeks.
Begin isometric exercises for all muscle groups immobilized in the cast. It
is important to see the patient at weekly intervals for the first 4–6 weeks
when weight-bearing methods are used. Especially isolated tibial fractures may
go into varus position within a couple of weeks after the fracture. Loss of
reduction must be corrected early to avoid malunion. There is also high risk of
delayed or nonunion.
If correction is not successful, operative treatment is indicated