Cast Adrift: Gortex Cast Liners Allow Greater Patient Activity☆

Dubowitz, Gerald; Miller, Deborah

doi:10.1580/1080-6032(2003)14[167:cagcla]2.0.co;2

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…A randomized controlled trial comparing waterproof (Gore-tex) cast liners with traditional cast liners showed a significantly improved comfort on all of the scores (irritation, itch, discomfort) in the waterproof liner group [4]. Dubowitz et al [5] described a case in which a patient had a distal fracture of the left scaphoid. After 1 week, the patient received a Gore-tex cast lining instead of a traditional lining of cotton or felt, which allowed the patient to dive.…”

Section: Discussionmentioning

confidence: 99%

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Swim cast versus traditional cast in pediatric distal radius fractures: A prospective randomized controlled trial

Derksen¹,

Commandeur

Deij³

et al. 2013

Journal of Children's Orthopaedics

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Purpose Non-displaced distal radius fractures in children are traditionally treated in a forearm cast. However, a traditional cast does not tolerate getting wet, with skin lesions and bad smell as result. A Swim cast, which has the ability to dry quickly, is an airy cast that is applied using the MOKcast technique. We hypothesize that Swim casts contribute to higher patient satisfaction scores than traditional casts, without any adverse effects on fracture healing or skin condition. Methods A prospective, randomized, single-center, blinded study was conducted to compare traditional and Swim cast treatment in children aged 5-15 years with greenstick or torus fractures of the distal radius. Primary endpoint was the patient and parent satisfaction, as determined by a questionnaire. Secondary endpoints were radiographic and clinical bone healing and cast-related skin conditions.

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Section: Discussionmentioning

confidence: 99%

“…After 1 week, the patient received a Gore-tex cast lining instead of a traditional lining of cotton or felt, which allowed the patient to dive. After 3 weeks, the routine radiographic and computed tomography follow-up showed excellent bone healing [5].…”

Section: Discussionmentioning

confidence: 99%

Swim cast versus traditional cast in pediatric distal radius fractures: A prospective randomized controlled trial

Derksen¹,

Commandeur

Deij³

et al. 2013

Journal of Children's Orthopaedics

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“…12 Five studies reviewed incorporated parental or patient experiences and perceptions into their design. 2,10,13,15,16 Although these studies utilized the subjective report of patient experience as part of the study, there has not been a standardized, validated questionnaire. Prior to Guillen et al, 2 previous studies did not have a comparison group when measuring patient-rated scores.…”

Section: Satisfactionmentioning

confidence: 99%

“…www.jposna.org cotton counterparts. 10 AquaCast LLC 14 reports an increased cost of approximately $100 per waterproof hip spica cast liner. Stevenson et al 15 acknowledge cost difference between different brands of waterproof liners.…”

Section: Costmentioning

confidence: 99%

Waterproof Liners for Hip Spica Casts Reduce Unplanned Healthcare Encounters

Berger¹

2022

Journal of the Pediatric Orthopaedic Society of North America

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Cotton liners, traditionally used in cast applications, trap moisture and chemical irritants such as urine, stool, and sweat resulting in adverse skin reactions, unplanned emergency and nursing visits, cast adjustments, readmissions, and return to the operating room for cast change under anesthesia (Shirley et al., 2020). Complications associated with hip spica casts result in unplanned healthcare encounters in excess of standard of care (DiFazio et al., 2011). This quality improvement project evaluated implementation of the current American Academy of Orthopaedic Surgeons (2020) hip spica cast liner guideline to reduce excess healthcare encounters associated with hip spica cast complications. The primary objective of this project was to identify if the use of a waterproof hip spica cast liner will reduce unplanned healthcare encounters related to hip spica cast complications. A retrospective chart review was used to measure and compare the incidence of excess healthcare encounters associated with cotton and waterproof hip spica liners. Retrospective review of the electronic health record (EHR) identified pediatric patients between the ages of six months and six years of age who required a hip spica cast for the treatment of a diaphyseal femur fracture from January 1, 2020 through April 30, 2021. Unplanned healthcare encounters during the 90-day period beginning with hip spica cast application and abnormal skin assessment at cast removal was quantified using EHR review of hip spica casts that utilized cotton or waterproof liners. Chi-squared test showed statistically significant reduction in unplanned healthcare encounters and cast complications associated with waterproof hip spica cast liners. Utilization of waterproof hip spica cast liners decreased unplanned healthcare encounters by 100% (n= 28) and significantly reduced skin complications associated with hip spica cast treatment.

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“…The use of waterproof lining materials in casting in the pediatric population is becoming more commonplace due to the functional advantages and benefits in quality of life for the child [1][2][3] and the incidence of distal forearm fractures in children and adolescents has been increasing since 1969. 4 The development of waterproof cast liners has allowed for improvement in patient's quality of life by improving hygiene and allowing patients to bathe, shower, and swim while wearing their cast.…”

Section: Introductionmentioning

confidence: 99%

Waterproof cast liners for pediatric forearm fractures – A comparison of two products

Trivellas

Hennrikus

Gupta

et al. 2020

Trauma

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Introduction Waterproof lining in casting in the pediatric population is becoming more commonplace due to the improved quality of life for the child by providing patients with a higher physical functional level when compared to those with non-waterproof lining. The objective of this study is to compare patient satisfaction and outcomes of two commonly used waterproof liners. Methods A prospective, randomized-controlled trial of children with stable forearm fractures not requiring reduction was conducted. Of those who chose a waterproof lining, patients were randomized to one of two products: Delta Dry® or Aquacast®. At the time of cast removal, each patient and medical assistant who applied and removed the cast completed surveys about their satisfaction with the cast. A two-sample T-test for independent samples was used to compare the two cast liners. Results Both liners were well liked by patients with no statistically significant difference in satisfaction scores nor were there differences in water exposure between the two groups (pool use, showering, or lake swimming). The medical assistants scored Aquacast® higher in three out of four domains but again there was no statistical difference. There were no fracture complications nor problems from cast application or removal. Conclusion Both waterproof cast liners were safe and efficacious. No significant differences were detected in any measured parameter including overall high patient satisfaction.

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Cast Adrift: Gortex Cast Liners Allow Greater Patient Activity☆

Cited by 4 publications

References 7 publications

Swim cast versus traditional cast in pediatric distal radius fractures: A prospective randomized controlled trial

Swim cast versus traditional cast in pediatric distal radius fractures: A prospective randomized controlled trial

Waterproof Liners for Hip Spica Casts Reduce Unplanned Healthcare Encounters

Waterproof cast liners for pediatric forearm fractures – A comparison of two products

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