Abstract
Purpose
Waterproof casts have been shown to provide adequate support and immobilization in fractures. This study evaluated two waterproof cast liners, namely, Wet or Dry® and Delta Dry®, in terms of ease of application/removal, durability, longevity, and patient satisfaction using patient- and technician-reported outcome measures.
Methods
A total of 105 children were enrolled in a randomized trial and received a below-elbow synthetic cast with either of the two cast liners.
Results
The two groups were comparable with regards to age, gender, side of cast, and hand dominance. Assessment was carried out at application and removal. In the patient-reported outcomes, the Wet or Dry® group was rated significantly better in the odor and water resistance categories. In the technician-reported application and removal outcome measures, the Delta Dry® group was rated significantly higher.
Conclusions
The use of waterproof cast liners appears to be safe in children with forearm fractures, with some differences in outcome between the two products trialed.
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References
Landin LA (1983) Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950–1979. Acta Orthop Scand Suppl 202:1–109
Shannon EG, DiFazio R, Kasser J, Karlin L, Gerbino P (2005) Waterproof casts for immobilization of children’s fractures and sprains. J Pediatr Orthop 25(1):56–59
Kruse RW, Fracchia M, Boos M, Guille JT, Bowen JR (1991) Goretex fabric as a cast underliner in children. J Pediatr Orthop 11(6):786–787
Haley CA, DeJong ES, Ward JA, Kragh JF Jr (2006) Waterproof versus cotton cast liners: a randomized, prospective comparison. Am J Orthop (Belle Mead NJ) 35(3):137–140
Berman AT, Parks BG (1990) A comparison of the mechanical properties of fiberglass cast materials and their clinical relevance. J Orthop Trauma 4(1):85–92
Selesnick H, Griffiths G (1997) A waterproof cast liner earns high marks. Phys Sportsmed 25(9):67–74
Wolff CR, James P (1995) The prevention of skin excoriation under children’s hip spica casts using the goretex pantaloon. J Pediatr Orthop 15(3):386–388
Acknowledgments
The authors would like to acknowledge Ms. Sophie McCallum for her contribution to the data collection.
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None.
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Stevenson, A.W., Gahukamble, A.D., Antoniou, G. et al. Waterproof cast liners in paediatric forearm fractures: a randomized trial. J Child Orthop 7, 123–130 (2013). https://doi.org/10.1007/s11832-012-0472-5
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DOI: https://doi.org/10.1007/s11832-012-0472-5