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Traditional Versus Water-resistant Short Leg Casting: A Randomized Controlled Pilot Study.

Stephen L Carveth¹, James D Bomar, MaryLou Scott

¹Rady Children's Hospital, San Diego, CA.

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|February 8, 2024

Summary

Orthopaedic Technicians preferred traditional cast padding over water-resistant options, though patient satisfaction was similar for both fiberglass short leg cast types. This study highlights technician preference in cast material selection.

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Area of Science:

Orthopaedic surgery
Biomaterials science
Patient care

Background:

A randomized controlled trial was conducted to compare fiberglass short leg casts with traditional padding versus water-resistant padding.
Patient/caregiver and Orthopaedic Technician (Ortho Tech) opinions were recorded for both cast types.

Purpose of the Study:

To compare patient and Ortho Tech experiences with traditional vs. water-resistant cast padding in fiberglass short leg casts.
To evaluate application, removal, durability, and patient comfort aspects of different cast padding materials.

Main Methods:

Sixty patients were randomized into traditional or water-resistant cast groups.
Ortho Techs assessed ease of application, moldability, and time.
Patients/caregivers reported on comfort, weight, itchiness, heat, smell, and satisfaction.
Ortho Techs evaluated skin condition, padding durability, and overall quality post-removal.

Main Results:

Water-resistant casts took longer to apply (12.4 min) than traditional casts (8.2 min).
Ortho Techs significantly favored traditional padding for ease of application, moldability, padding removal, durability, longevity, and overall impression.
Patient and caregiver responses showed no significant difference in satisfaction between the two cast types.

Conclusions:

Patients tolerated both traditional and water-resistant fiberglass short leg casts similarly.
Ortho Techs demonstrated a clear preference for traditional cast padding over water-resistant options.