Introduction: Cast wedging is a simple and reproducible method of manipulating a sub-optimally reduced fracture producing a correction and a final alignment that is amenable to definitive closed treatment. Multiple successful techniques have been previously described in the literature (opening wedge, closing wedge and combination).

Case Report: We present a simple reproducible method of templating and executing a proper cast wedging technique using digital imaging systems that are not controlled for magnification with an illustrative case.

Conclusion: Renewed interest in cast wedging can provide a cost effective treatment with proven clinical outcomes in an ever changing and uncertain reimbursement climate.

Keywords: Cast Wedging, Wedging, Reduction, Manipulation, Technique, Closed Fracture Treatment, Non-op, conservative management.

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