Document Detail


Evaluation of fiberglass versus plaster of Paris for immobilization of fractures of the arm and leg.
MedLine Citation:
PMID:  12188237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We conducted a prospective randomized study comparing the costs, comfort, and effects on activities of daily living of fractures managed in plaster of Paris (POP) vs. fiberglass (FG) for at least 4 weeks. A total of 183 patients with short arm and short leg casts were evaluated. Twenty-seven patients were excluded, leaving 156 patients in the study. The average cost per fracture immobilized in a short arm cast was $12.90 for POP and $15.45 for FG. For short leg casts, the average cost of immobilization was $49.06 for POP and $47.85 for FG. FG had a significantly lower breakdown rate in short leg casts (17% vs. 66%) but not in short arm casts. In 21 measures of activities of daily living and comfort, FG short arm casts were significantly better than POP in only the weight of the cast (p = 0.01). FG short leg casts were superior to POP in getting dressed, odor, sweating under the cast, work/school accomplishments, and overall fewer restrictions and comfort.
Authors:
Kurtis L Kowalski; J David Pitcher; Barry Bickley
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Military medicine     Volume:  167     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-21     Completed Date:  2002-10-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  657-61     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA.
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MeSH Terms
Descriptor/Qualifier:
Arm Injuries / economics,  surgery*
Calcium Sulfate
Casts, Surgical*
Cost-Benefit Analysis
Fracture Fixation / methods*
Glass
Humans
Immobilization*
Leg Injuries / economics,  surgery*
Military Personnel
Prospective Studies
Chemical
Reg. No./Substance:
0/fiberglass; 7778-18-9/Calcium Sulfate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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