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Aftercare Sarmiento cast

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