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3D-Printed Casts Improve Patient-Reported Function and Satisfaction in Children With Stable Fracture Patterns
Margaret J Higgins1, Robert W Gomez1, Morgan Storino2
1St. Luke's University Health Network.
Journal of Pediatric Orthopedics
|July 23, 2025
Summary
3D-printed casts improve pediatric fracture care, enhancing patient activity and satisfaction compared to traditional fiberglass casts. These custom casts offer better durability and function, representing a viable alternative for pediatric orthopaedic treatment.
Area of Science:
- Orthopaedic surgery
- Biomedical engineering
- Pediatric care
Background:
- Three-dimensional (3D) printing is an emerging technology in pediatric orthopaedics.
- The role of 3D-printed casts in treating pediatric fractures is not well-defined.
Purpose of the Study:
- To compare patient-reported outcomes of custom 3D-printed casts (3DC) versus traditional fiberglass casts (TFC).
- To evaluate patient satisfaction and functional ability after short arm immobilization for stable pediatric fractures.
Main Methods:
- A comparative study of pediatric patients (≤18 years) with stable fractures treated with 3DC or TFC.
- Patient-reported function and satisfaction assessed using standardized surveys and the QUEST 2.0.
- Institutional charge estimates were calculated.
Main Results:
- Patients with 3DC reported easier showering, swimming, sports participation, and vacations.
- 3DC demonstrated improved durability and reduced overall functional limitations compared to TFC.
- Skin irritation rates were similar; unplanned visits were lower in the 3DC group.
Conclusions:
- 3D-printed casts offer superior durability, activity participation, and patient satisfaction for pediatric fractures.
- Custom 3D-printed casts are a reasonable alternative to traditional fiberglass casts in appropriate pediatric patients.
