Paper| Volume 23, ISSUE 1, P13-20, 1992

A clinical evaluation of plaster-of-Paris and eight synthetic fracture splinting materials

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      A number of new synthetic orthopaedic splinting materials, all claiming substantial advantages over the traditional plaster-of-Paris, have been introduced in recent years. However, although their properties have been extensively measured in the laboratory, little has been documented concerning their performance in clinical use. This study was therefore initiated as a comparative evaluation of the clinical characteristics and ease of use of these relatively expensive materials in the fabrication of below-knee weight-bearing casts. The study encompassed nine materials — seven based on water-activated polyurethanes, one thermoplastic and plaster-of-Paris, and involved a total of 203 patients. It was concluded that plaster-of-Paris should be used for all routine splinting applications, but that in cases in which cast weight, cast bulk, or the time to bearing weight is important, a synthetic material, chosen principally on the basis of cost, is indicated.
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        • Conover W.J.
        2nd Ed. Practical Nonparametric Statistics. John Wiley and Sons, New York1980: 229
        • Fleming L.L.
        • Miller K.
        • Sinback M.
        Clinical experience with a new casting tape.
        South. Med. J. 1980; 73: 569
        • Gill J.M.
        • Bowker P.
        A comparative study of the properties of bandage-form splinting materials.
        Eng. Med. 1982; 11: 125
        • Hamzeh M.A.
        • Bowker P.
        • Rowley D.I.
        Effects of below-knee cast design on the energy cost of ambulation.
        Clin. Biomech. 1988; 3: 74
        • Jorgensen U.
        • Nordkild P.
        Hexcelite versus plaster-of-Paris: a controlled trial of the below-knee walking cast.
        Prosthet. Orthot. Int. 1986; 10: 114
        • Martin P.J.
        • Weidman D.H.
        • Orr J.F.
        • et al.
        A comparative evaluation of modern fracture casting materials.
        Eng. Med. 1988; 17: 63
        • Nielsen K.
        • Lauritzen J.
        A new thermoplastic casting material.
        Acta. Orthop. Scand. 1981; 52: 27
        • Pratt D.J.
        • Powell E.S.
        • Rowley D.I.
        • et al.
        Some comparative properties of splinting materials.
        in: Whittle M. Harris D. Proceedings of Biomechanical Measurement in Orthopaedic Practice. Clarendon Press, Oxford1985: 63
        • Rowley D.I.
        • Pratt D.J.
        • Powell E.S.
        • et al.
        The comparative properties of plaster-of-Paris and plaster-of-Paris substitutes.
        Arch. Orthop. Trauma Surg. 1985; 103: 402
        • Schenck T.
        • Somerset J.H.
        • Porter R.E.
        Stresses in orthopaedic walking casts.
        J. Biomech. 1969; 2: 227
        • Wytch R.
        • Mitchell C.B.
        • Wardlaw D.
        • et al.
        Mechanical assessment of polyurethane impregnated fibreglass bandages for splinting.
        Prosthet. Orthot. Int. 1987; 11: 128