The second-generation cast-brace system offers some advantages over
previous systems of cast-brace treatment for fractures of the femur.
Because the thigh section is adjustable, loosening of the cast-brace is not
a problem. The device can be applied earlier and need not be reapplied when
the girth of the thigh is reduced. Using a roller traction system, the
cast-brace can also be used initially for traction and suspension without
the complexity of traditional systems. With the use of commercially
available plastic knee joints, special skills in alignment of the joints
are not necessary, and no specially trained personnel need be on hand. The
lightweight thigh section coupled to custom-fit plaster leg section, with
the foot and ankle free, are less bulky than a totally plaster cast-brace
with metal side joints. Walking may be begun earlier with the device, and
in-patient hospital time is reduced. However, this system requires a high
level of patient cooperation in that the patient is free to adjust the
system himself and, therefore, the system may not be safe for application
in all settings.