Goretex Fabric as a Cast Underliner in Children

Kruse, Richard W.; Fracchia, M. Shannon; Boos, M; Guille, James T.; Bowen, J. Richard

doi:10.1097/01241398-199111000-00018

Cited by 19 publications

(19 citation statements)

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“…Kruse et al found improved patient hygiene and decreased incidences of skin irritation in patients treated with lower extremity waterproof casts. 3 Selesnick et al reported only a 5.9% minor skin complication rate and minimal complaints of odor, itching, and drying difficulties from the cast. 6 In a randomized prospective study, Hadley et al confirmed the advantages of Gore-Tex by showing superior scores for itch, discomfort, and irritation and overall patient satisfaction score and overall physician satisfaction score as compared with cotton group.…”

Section: Discussionmentioning

confidence: 99%

“…2 Previous to this study, it had been purported by several authors that waterproof lining had resulted in less skin problems and less unscheduled cast changes. 2,3,6,7 However, none of these previous studies had had a comparison group when measuring patient-rated scores on itch, comfort, odor, irritation, and overall patient scoring. To date, our study is the second study to compare these 2 groups in a randomized fashion, but with a newer type of waterproof lining.…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown to maintain alignment with better hygiene. 2,3,6,7 It also has been shown to decrease unscheduled cast changes and hospital visits. 5 However, there are concerns with difficulty applying it and a cost of $30 to $50 more per cast.…”

Section: Introductionmentioning

confidence: 99%

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A Prospective Randomized Crossover Study on the Comparison of Cotton Versus Waterproof Cast Liners

Guillen

Fuller

Riedel

et al. 2016

Hand (New York, N,Y.)

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Background: Many fractures are treated with casting which can cause complications likely from inability to wash the extremity. Gore-Tex-based waterproof cast liner has been compared with cotton liner and shown to be superior in physician and patient scoring but also has high cost and difficult application. The purpose of this study is to compare newer generation waterproof liners with traditional cotton liner. It is the first study to compare this new waterproof liner and cotton liner in a crossover model, allowing patients to swim in the pool with the cast. Methods: Twenty patients (ages 3-30) with upper extremity injuries were randomized to waterproof-liner or cotton-liner casts made of fiberglass. Patients would switch cast liners halfway between their treatments to fulfill crossover criteria. All fractures were within a 2-week period from original incident. At each clinic visit, patients evaluated comfort parameters through questionnaires, and physicians rated skin condition. Patients were also asked which cast liner they preferred at the end of the study. Results: There were no unscheduled cast changes. The waterproof-liner group had better scores for odor (P = .041), sweat (P = .016), and overall physician-rated score (P = .038). There was no significant difference in other patient-rated parameters. Seventy-five percent of patients preferred waterproof casting to the cotton liner. Conclusions: This new waterproof cast liner, compared with cotton cast liner, had better odor, sweat, and overall physician scores. The waterproof liners allow patients to rinse casts daily, and the majority of patients prefer waterproof to cotton liner.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Prospective Randomized Crossover Study on the Comparison of Cotton Versus Waterproof Cast Liners

Guillen

Fuller

Riedel

et al. 2016

Hand (New York, N,Y.)

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“…In addition, some physicians recommend using plastic wrap as an alternative. There are also a variety of commercial products available, including cast liners such as 3M Scotchcast (3M, St. Paul, Minnesota) and Gore Procel (3M), which have been shown to be an effective alternative to traditional casting 8,9 . In addition, there are a variety of waterproof shields including but not limited to Dry Pro (Dry Corp, Wilmington, North Carolina), CVS Reusable Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work.…”

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confidence: 99%

A Comparison of Various Contemporary Methods to Prevent a Wet Cast

McDowell

Nguyen

Schlechter

2014

The Journal of Bone and Joint Surgery

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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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Goretex Fabric as a Cast Underliner in Children

Cited by 19 publications

References 0 publications

A Prospective Randomized Crossover Study on the Comparison of Cotton Versus Waterproof Cast Liners

A Prospective Randomized Crossover Study on the Comparison of Cotton Versus Waterproof Cast Liners

A Comparison of Various Contemporary Methods to Prevent a Wet Cast

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

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