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A cylindrical cast is a plaster of paris or fiberlgass scaffolding applied from the ankle to the mid-femur for traction of injuries to the patella, or the distal femur. A cylindrical cast looks like a long leg cast but without the cast part on the foot or ankle, the reason why is because in a patellar injury you need to immobilize the bones above and below the break, so it doesn't really matter what the foot is doing as long as the leg and knee don't move it should be fine.
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