Synthetic casting tapes: benefits and uses of Delta-Cast Conformable.

Casting is a traditional practice that has changed relatively little over thousands of years. Today, however, with the emphasis on evidence-based medicine, health professionals are examining the practice and investigating ways of improving it for the benefit of both patients and those who perform it. Most fractures and many soft tissue injuries are usually managed in a rigid cast, which brings with it complications and disadvantages. The ideal form of fracture fixation would stabilize the fracture while allowing some movement of the fracture site and soft tissue compression. This article explores the use of Delta-Cast Conformable (Johnson and Johnson), a synthetic casting tape, in both primary and secondary casting. The role of Delta-Cast Conformable with regard to focused rigidity casting, a new philosophy in fracture management, is discussed.