Indications

  • Undisplaced, stable fractures 
  • Patient not fit for surgery
  • Poor soft-tissue condition (excessive swelling, diabetes, neurovascular diseases)

Contraindications

  • Dislocated or unstable joint
  • Severe soft-tissue injury 
  • Very displaced fracture with soft-tissue irritation

Advantages

  • Full weight bearing possible
  • Good stability

Disadvantages

  • Risks of cast complications (eg, pressure ulcer, nerve compression) 
  • Risks of immobilization (joint stiffness, muscle wasting)
  • Longer rehabilitation period