Pressure Ulcer
Conditions
Keywords
Pressure ulcer, Waterproof, Gortex, Cast padding, Pediatric, Heel
Brief summary
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.
Detailed description
Cast sores result in pain, scarring and sometimes 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.
Interventions
OTHERCasting using Gortex (waterproof) cast padding materials
OTHERCasting using cotton/cotton-poly cast padding materials
Sponsors
Shriners Hospitals for Children
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence or absence of cast sores, including size, location, grade using Wagner's Classification system for the severe diabetic foot ulcerations | Time of cast application to final cast removal |
Secondary
| Measure | Time frame |
|---|---|
| Presence of: abrasion; pressure/sheer; maceration wetness; infection; cast modification. | Cast application to final cast removal |
Countries
United States
Outcome results
None listed