An orthopaedic cast is usually removed with a special cast saw, which is an oscillating power tool. While it might look like it could cause a lot of damage, a cast saw is designed with a sharp, small-toothed blade that rapidly oscillates back and forth over a very small angle to cut material.

This is quite different to a normal circular saw, which has a rotating blade. A cast saw needs resistance to cut, and is specially designed to slice through rigid materials such as plaster. If it comes into contact with soft tissues such as skin, there is less resistance and so the saw will not cause injury.

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Asked by: Noel Walters, via email

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Authors

Dr Nish Manek is a GP in London. She completed her medical degree at Imperial College and was runner-up in the University of London Gold Medal. Manek has also developed teaching courses for Oxford Medical School, and has penned articles for The Guardian and Pulse magazine.