Abstract
Non-operative techniques for the management of closed tibial fractures are well accepted and proven to be very successful. Cast wedging itself is somewhat of a dying art with a move towards operative intervention in many cases traditionally managed successfully by cast immobilisation. Much debate has ensued as to the best method of calculating the size of the wedge required. Further discussion on the merits of the opening wedge, closing wedge and the opening-closing wedge have all tried to refine the technique including the precise positioning of the wedge. None of these papers have discussed the materials used for providing the wedge itself. Traditionally a piece of cork has been used with varying size pieces inserted into the gap created. There are two problems with this:
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