The evolution of orthopaedic casting: From the legacy of plaster of paris to fibreglass and the future of breathable mesh cast technology

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Key Points

The paper discusses the transition of orthopaedic casting materials, exploring innovations and their implications for patient care.
Narrative review of historical and technological advancements in orthopaedic casting.
Examination of plaster of paris, fibreglass, and breathable mesh technologies through case examples and literature.
Analysis of patient outcomes and comfort in relation to casting methods and materials.
Breathable mesh casts significantly improve patient comfort and hygiene compared to traditional plaster and fibreglass casts.
The shift to breathable casting technologies addresses common complications like skin irritation and sweating.
Patient satisfaction and adherence to immobilisation protocols are expected to improve with the adoption of breathable systems.

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This narrative explores the historical advancements in casting materials and methods, highlighting their impact on fracture treatment outcomes.

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Kale et al. (2026) studied this question.

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