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Table 1 Assessment of clinical effectiveness of a 3D–printed cast

From: Application of 3D–printed and patient-specific cast for the treatment of distal radius fractures: initial experience

Assessment Item

Assessment contents and grading standard

excellent-3

good-2

acceptable-1

poor-0

Stability of immobilisation

No loss of reduction

Slight shift but no need for re-manipulation

Reinforced same cast

Loss of reduction requiring further procedure

Blood circulation

Good terminal circulation with a florid complexion

Venous obstruction relief after physical movement or arm lifting

Pale skin, low temperature of the arm

Significant ischaemia of involved limb, compartment syndrome

Wear-pressure-related pain

No pain

Slight pain with a minor influence on sleep

Mild pain caused poor-quality sleep

Severe pain caused difficulty falling asleep

Pressure sores

No abnormality of the skin

Non-blanchable erythema of the intact skin

Skin breakdown or bleeding blister

Full thickness skin loss