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Casts typically come in two main types of material, fiberglass, and plaster, though it is less common. Plaster casts have several limitations, including weight, which restricts movement, and skin complications such as dryness, itching, rashes, and infections, particularly in hot weather. Plaster can also break down if exposed to moisture.
Cast removal procedures result in complications in less than 1% of patients. These complications include skin abrasions or thermal injuries from friction between the saw and cast. Temperatures exceeding 101 °C (214 °F) have been recorded during the removal of fiberglass casts.
These casts were made by wrapping dipped plaster or fiberglass strips around the foot to capture the form, then letting it dry and harden. Once the cast was hardened, the doctor would carefully remove it from the patient's foot and ship the cast, along with a prescription, to an orthotics lab which would use the negative of the cast to create ...
Fiberglass casts were introduced in the 1980s or 1990s. The curing time of a fiberglass cast is far shorter than plaster of Paris, letting the patient walk with an outer boot within an hour of application. Because casts made of fiberglass have lower breakdown rate and do not impede patient mobility, this material has become the choice for TCC.
Elektrische Gipssäge, a cast saw by Ortopedia (Kiel, Germany), is a power tool used to remove orthopedic casts which has an oscillating blade instead of a circular saw with a rotating blade This type of oscillating tool was originally developed by the German manufacturer Fein in 1967 [ 1 ] with a design intended to remove plaster casts easily ...
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Spica casts are typically made using a soft padded lining, which tightly wrapped around the leg and hip joint. It is then wrapped in either a fiberglass or plaster cast. Fiberglass is generally preferred, as it is stronger than plaster and significantly lighter. It also dries faster than plaster casts. [citation needed]