Development of plaster sore is very painful. It is a constantly nagging pain that does not leave the patient.The patient is often able to pinpoint the sore area. If patient complains of unrelenting pain or digging sensation the part should be examined.
It should not be ignored at any cost otherwise the results could be disastrous consequences.
A window is cut in the plaster, with an electric cutter. Then underlying padding and lining is removed to inspect the skin.
The skin is examined for any redness or wound.
Sores are graded according to depth of the involvement.
- Grade I-Redness of skin
- Grade II-Involvement of Subcutaneous Tissue or Cellulitis
- Grade III- Involvement of Muscles
- Grade IV- Bone Deep
The treatment of sore depends upon the grade. While grade I only requires removal of offending pressure others require treatment that varies from simple dressings to surgical debridement and reconstructive procedures.
The fracture needs to be splinted throughout. In some cases it might be pertinent to shift to external fixation of the fracture.
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[...] from immediate complications and plaster sores there are many other problems that can arise with plaster [...]