From the Research
Patients with a metatarsal fracture should typically wear their air cast at night while sleeping to ensure continuous immobilization and promote optimal healing. This recommendation is based on the principles of fracture management, which prioritize maintaining proper alignment and minimizing movement to facilitate healing. Although the provided evidence does not directly address the question of wearing an air cast at night, the general consensus in the management of metatarsal fractures, as discussed in studies such as 1, emphasizes the importance of appropriate immobilization to prevent complications and promote healing. The study by 1, being the most recent and relevant to the general management of metatarsal fractures, guides the approach to treating these injuries, including the use of immobilization techniques to support the healing process. Continuous immobilization, such as wearing an air cast at night, helps maintain the metatarsal parabola, sagittal position of the metatarsal heads, and a congruent metatarsophalangeal joint, which are key treatment goals for metatarsal fractures as outlined in 2.
Some key points to consider:
- The air cast provides stability and protection against accidental movement during sleep that could disrupt the healing process.
- As the fracture begins to heal, the doctor may adjust these recommendations based on follow-up X-rays and the patient's specific healing progress.
- Elevating the foot on a pillow while sleeping can help reduce swelling and discomfort.
- If the air cast causes significant sleep disruption or skin irritation, the patient should consult their healthcare provider before making any changes to the treatment plan.
- The consistent use of the prescribed immobilization device is crucial for proper bone healing and to prevent long-term complications, as suggested by the outcomes discussed in 3, which highlights the importance of appropriate treatment in achieving good functional outcomes for patients with metatarsal fractures.