DOI: 10.4103/jehp.jehp_2339_25 ISSN: 2277-9531

Efficacy of new a novel sawdust-plaster material related to improved pain reduction and healing among fracture patients: A randomized clinical trial

Rasool R. Lafta, Haider M. Majeed
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BACKGROUND:

Acute fractures often require prolonged immobilization, which is frequently associated with significant pain and physical discomfort. This study aimed to evaluate the efficacy of an innovative birch sawdust–plaster mixture in reducing pain and improving clinical outcomes compared with traditional plaster of Paris.

MATERIALS AND METHODS:

A single-blind, true experimental design was conducted between May and September 2025 in Baghdad, Iraq. A total of 56 adult patients with upper limb fractures who met the inclusion criteria were recruited and randomly allocated into two groups: the intervention group ( n = 27, sawdust-plaster back-slab) and the control group ( n = 29, traditional back-slab). Randomization was achieved using sequentially numbered, opaque, sealed envelopes. Data were collected using a sociodemographic sheet and the Visual Analogue Scale (VAS). Statistical analysis was performed using SPSS version 30 employing independent t-tests and Chi-square tests to compare outcomes.

RESULTS:

The intervention group demonstrated a statistically significant reduction in pain scores (25.24 \pm 4.1) compared with the control group (31.53 \pm 5.2; P = 0.039). In addition, the intervention group reported a shorter duration to reach clinical comfort (24.37 days) and a higher prevalence of mild pain levels (77.8%) postintervention. While age influenced pain perception in the intervention group, the primary improvements were attributed to the material’s properties.

CONCLUSIONS:

The sawdust–plaster mixture is significantly more effective than traditional casting in reducing pain and accelerating clinical recovery. To improve patient outcomes, we propose that healthcare facilities integrate this low-cost and sustainable mixture into standard orthopedic protocols. Furthermore, it is recommended that nursing professionals and policy-makers advocate for the use of such eco-friendly materials to enhance patient satisfaction and minimize the physical burden of immobilization.

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