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Hinged cast after knee ligament surgery

Department of Orthopaedic Surgery, Malmö General Hospital, University of Lund, Malmö, Sweden

BO Nilsson

Department of Orthopaedic Surgery, Malmö General Hospital, University of Lund, Malmö, Sweden

Nils Westlin

Department of Orthopaedic Surgery, Malmö General Hospital, University of Lund, Malmö, Sweden

One hundred thirteen patients scheduled for repair of knee ligament injuries were randomized to postopera tive immobilization in either a hinged or a long leg cast. The time of disability (i.e., sick leave) was significantly shorter (6 weeks) with a hinged cast, but only in ACL cases. All types of injuries regained their range of motion more rapidly after use of a hinged cast. There was no evidence that the motion permitted in a hinged cast hampers the result as regards to stability.

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