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Cast saw

A cast saw is an oscillating saw used to remove orthopedic casts. Unlike a circular saw with a rotating blade, a cast saw uses a sharp, small-toothed blade rapidly oscillating or vibrating back and forth over a minimal angle to cut material.[1] This device is often used with a cast spreader.[2]

Elektrische Gipssäge, by Ortopedia, Kiel, Germany

The patient's skin frequently comes into contact with the cast saw blade without cutting although it can cause lacerations when used over bony prominences.[3] The design enables the saw to cut rigid materials such as plaster or fiberglass. In contrast, soft tissues such as skin move back and forth with the blade, dissipating the shear forces, and preventing injury.[4]

Modern cast saws date back to the plaster cast cutting saw which was submitted for a patent on April 2, 1945, by Homer H. Stryker, an orthopedic surgeon from Kalamazoo, Michigan.[5]

Cast removal procedures result in complications in less than 1% of patients. These complications include skin abrasions or thermal injuries from friction between the saw and cast. Temperatures exceeding 101 °C (214 °F) have been recorded during the removal of fiberglass casts. The proper use of the saw is to perforate (instead of cutting) the cast, which can then be separated using a cast spreader.[4]

Alternatives include cast cutting shears which were patented in 1950 by Neil McKay.[6]

See also edit

References edit

  1. ^ "Do You Know How to Safely Remove a Cast Easily?". Verywell Health. Retrieved 2018-03-25.
  2. ^ Dresing, Klaus; Trafton, Peter G. (2014-12-17). Casts, Splints, and Support Bandages: Nonoperative Treatment and Perioperative Protection. Thieme. ISBN 9783131753519.
  3. ^ Staheli, Lynn (2008). Fundamentals of Pediatric Orthopedics. Philadelphia: Lippincott Williams & Wilkins. p. 51. ISBN 9780781774970.
  4. ^ a b Halanski, Matthew A. (June 2016). "How to Avoid Cast Saw Complications". Journal of Pediatric Orthopaedics. 36: S1–S5. doi:10.1097/BPO.0000000000000756. ISSN 0271-6798. PMID 27152901. S2CID 45625020.
  5. ^ Plaster cast cutter, 1945-04-02, retrieved 2018-03-25
  6. ^ US 2602224, McKay, Neil, "Plaster cast cutting shears", published 28 August 1950, issued 8 July 1952 

External links edit

cast, cast, oscillating, used, remove, orthopedic, casts, unlike, circular, with, rotating, blade, cast, uses, sharp, small, toothed, blade, rapidly, oscillating, vibrating, back, forth, over, minimal, angle, material, this, device, often, used, with, cast, sp. A cast saw is an oscillating saw used to remove orthopedic casts Unlike a circular saw with a rotating blade a cast saw uses a sharp small toothed blade rapidly oscillating or vibrating back and forth over a minimal angle to cut material 1 This device is often used with a cast spreader 2 Elektrische Gipssage by Ortopedia Kiel Germany The patient s skin frequently comes into contact with the cast saw blade without cutting although it can cause lacerations when used over bony prominences 3 The design enables the saw to cut rigid materials such as plaster or fiberglass In contrast soft tissues such as skin move back and forth with the blade dissipating the shear forces and preventing injury 4 Modern cast saws date back to the plaster cast cutting saw which was submitted for a patent on April 2 1945 by Homer H Stryker an orthopedic surgeon from Kalamazoo Michigan 5 Cast removal procedures result in complications in less than 1 of patients These complications include skin abrasions or thermal injuries from friction between the saw and cast Temperatures exceeding 101 C 214 F have been recorded during the removal of fiberglass casts The proper use of the saw is to perforate instead of cutting the cast which can then be separated using a cast spreader 4 Alternatives include cast cutting shears which were patented in 1950 by Neil McKay 6 See also editMulti tool power tool References edit Do You Know How to Safely Remove a Cast Easily Verywell Health Retrieved 2018 03 25 Dresing Klaus Trafton Peter G 2014 12 17 Casts Splints and Support Bandages Nonoperative Treatment and Perioperative Protection Thieme ISBN 9783131753519 Staheli Lynn 2008 Fundamentals of Pediatric Orthopedics Philadelphia Lippincott Williams amp Wilkins p 51 ISBN 9780781774970 a b Halanski Matthew A June 2016 How to Avoid Cast Saw Complications Journal of Pediatric Orthopaedics 36 S1 S5 doi 10 1097 BPO 0000000000000756 ISSN 0271 6798 PMID 27152901 S2CID 45625020 Plaster cast cutter 1945 04 02 retrieved 2018 03 25 US 2602224 McKay Neil Plaster cast cutting shears published 28 August 1950 issued 8 July 1952 External links editDemonstration of a cast saw on bare skin dead link plaster material dead link Retrieved from https en wikipedia org w index php title Cast saw amp oldid 1219881657, wikipedia, wiki, book, books, library,

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