Efficacy of new a novel sawdust-plaster material related to improved pain reduction and healing among fracture patients: A randomized clinical trial.
Lafta Rasool R RR, Majeed Haider M HM
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. 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. 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. 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.