What is MOKcast?

The concept of MOKcast stands for the definitive, straight-through Cast bandage in the primary treatment of fractures. The classic plaster-splint is substituted through the use of a semiflexible Polyester cast (Delta Cast Conformable™), which due to its material condition, has only a low memory effect when bent, and thus is easily adaptable to different degrees of swelling.
The bandage can be taken off and reapplied multiple times and so can be used for the whole duration of the therapy.
The "renewal" of the Cast is obsolete.
The application of the bandage is carried out in the meaning of a focused stabilisation.

Methods of fracture treatment:

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Rigid bandages made out of plaster or fibreglass Cast are not able to adapt to various stages of swelling. This makes the change of the stabilizing bandage during fracture treatment necessary. The MOKcast allows a definitive, straight-through primary treatment. The renewal of the Cast is obsolete.

MOKcast is connected very closely with the concept of the Focused Rigidity Casting (FRC). Focused Rigidity Cast means that a local, mostly circular bandages is applied, which is stable in the fracture and/or joint area and flexible in the areas further away from the fracture or where in those further away areas there is no Cast at all.
Joints and fractures get stabilised without negative influence to adjoining soft tissue areas and joints.

The consistency of classic plaster or stiff fibreglass Cast always leads to a Cast which is both rigid and inelastic over the whole area of the Cast. This has the effect for the patient, that areas not relevant to the healing of the fracture are often unnecessary immobilised with rigid Cast. This is what patients complain about most of all. They don't feel comfortable in the Cast and complain about the consequences the rigid Cast can have.

The classic plaster-technique compared to FRC:

Classic plaster-technique Focused Rigidity Cast
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The philosophy of focused rigidity poses two questions of prominence which have to be asked and answered for each patient anew.

What has to be stabilised to support the fracture healing process ?
What can stay flexible to minimise the consequences of the immobilisation ?

The point in time for a focused rigidity Cast can vary and has to be determined individually:
  1. As secondary treatment after primary treatment with a plaster splint.
  2. As primary treatment instead of the classisc plater splint.
  3. As definitive, straight-through primary treatment / MOKcast.

Examples of MOKcast:
The Metatarsal-shoe for the treatment of metatarsal fractures.
The Metatarsal-shoe stabilised the plantar, medial and lateral side of the foot without restriction of the ankle joint.

The Big-toe MOKcast for the treatment of big toe fractures / Hallux valgus.
Stabilisation for the big toe.
Functionality for the ankle joint.

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