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. 2018 Dec 19;2018(12):CD012470. doi: 10.1002/14651858.CD012470.pub2

9. Waterproof cast versus "traditional" cast: participant and intervention characteristics.

Study ID No. participantsAge Fracture type Waterproof cast Traditional cast Duration of use
Derksen 2011 68
Mean: 9.8 years; range 5 to 15 years (eligible)
Isolated greenstick or buckle fracture of the distal radius (56 (82%) were buckle fractures) "Swim cast": air‐ventilating semi‐flexible polyester cast manufactured without the use of a synthetic wool liner and thus applied directly over the protective stocking Traditional cast (made of polyurethane material, with a cotton liner). Participants receiving the traditional cast were advised to use a protective plastic bag when taking a shower or going for a swim Both types of casts were worn for 2 to 3 weeks. Children younger than 8 years were immobilised for a total of 3 weeks and children 8 years and older were immobilised for a total of 4 weeks,
Silva 2016 27
Mean: 9.4 years; range 6 to 13 years
Nondisplaced or minimally angulated (< 15 °) fracture of the distal radius (23 (85%) were buckle fractures) "Waterproof cast": below‐elbow cast made of the waterproof hybrid mesh material with a waterproof skin protector Non‐waterproof cast: below‐elbow cast of traditional fibreglass material with a non‐waterproof lining material. Participants with the traditional cast were asked to keep it dry Cross‐over trial.
Casts were replaced by the alternative cast at 2 weeks post‐cast application