The present invention relates to a patient-customized wrist cast, and more particularly, to a patient-wrist cast, which comprises a body portion having an inner surface of a contour complementary to a patients treatment site surface contour and being divided into two or more sections A binding means formed along the outer periphery of the body portion to bind the divided body portions And the body portion includes a guide portion formed along the outer periphery of the body portion on which the binding means is to be positioned, and the guide portion includes a protruding guide portion protruding from the outer surface of the body portion to form a cavity having a shape corresponding to the binding means, And an engaging guide portion formed along the outer periphery of the body portion and forming a groove having a shape corresponding to the engaging means, wherein when the outer surface of the body portion where the binding means is to be positioned is constant in the bending direction, A protruding guide portion is formed when the outer surface of the body portion where the binding means is to be located is not constant, and the positioning portion is formed on the cutting line of the body portion divided into two or more sections, The through-hole penetrating through the side has a shape that receives a bony protrusion protruding from the wrist portion of the patient to be treated, A plurality of ventilation holes formed through the outer and inner surfaces of the body portion and having an arbitrary shape other than a position at which the projection insertion hole is located on the body portion and penetrating through the outer and inner surfaces of the body portion The present invention relates to a patient-customized wrist cast.본 발명은 환자 맞춤형 손목 캐스트에 관한 것으로, 더욱 상세하게는 환자의 시술부위 표면윤곽에 상보적인 윤곽의 내측면을 가지며 2 구획이상으로 분할되는 몸체부와 상기 몸체부의 외주를 따라 형성되어 분할된 몸체부를 결속시키는 결속수단을 포함하고, 상기 몸체부는, 상기 결속수단이 위치할 몸체부 외주를 따라 형성된 가이드부를 포함하며, 상기 가이드부는, 상기 몸체부의 외면에 돌출되어 내측에 결속수단에 상응하는 형상의 공동