Cast Sores With Waterproof Vs. Standard Cast Padding



Status:Completed
Conditions:Skin and Soft Tissue Infections, Gastrointestinal
Therapuetic Areas:Dermatology / Plastic Surgery, Gastroenterology
Healthy:No
Age Range:1 - 18
Updated:3/30/2013
Start Date:July 2007
End Date:July 2013
Contact:Jonathan B Pellett, MD
Email:jpellett@shrinenet.org
Phone:808-951-3711

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Cast Sores With Waterproof Vs. Standard Cast Padding in a Pediatric Population


The purpose of this study is to compare waterproof cast padding material to standard
cotton/poly-cotton cast padding material to the presence or absence of cast sores of the
heel.


Cast sores result in pain, scarring and sometines disfigurement. No study has specifically
evaluated the efficacy of waterproof cast padding with respect to preventing lower extremity
cast sores.

Comparison: Non-blinded randomization to waterproof or cotton/cotton-poly cast padding
material in a pediatric population who have lower extremity casts that include the foot and
are applied in the operating room. Comparison of cast sore incidence will be made in the
two randomized groups.

Inclusion Criteria:

- Patient at Shriners Hospital for Children - Honolulu

- Ages 0-18

- Short leg, long leg, spica or Petrie cast that includes the foot

- Cast applied in the operating room

Exclusion Criteria:

- Ponsetti casts (club foot casts with no more surgery than Achilles tenotomy, age < 1
year)

- Splints

- cylinder casts or spicas which don't include the foot
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