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OrthoH2O Waterproof Cast Application Instructions
Use this guide with the OrthoH2O waterproof cast kit selected for the patient. OrthoH2O uses a water-resistant tubular stockinette beneath fiberglass casting tape. The stockinette is doubled for proper thickness, and the correct short arm, long arm, short leg, or long leg cast technique is then used.
Professional-use note: Cast type, limb position, molding, weight-bearing status, and duration of immobilization should be determined by the treating healthcare professional.
IMPORTANT — SHARE THESE INSTRUCTIONS WITH YOUR CAST TECHNICIAN
Waterproof cast materials are applied differently from traditional cast padding, and some doctors or cast technicians may not have used OrthoH2O before.
Please send or show this page and the application video to your doctor or cast technician before the cast is applied. A few minutes reviewing the technique can help make sure the waterproof liner is prepared and applied as intended.
It is the purchaser/patient's responsibility to make sure the treating office receives these instructions before application. Do not assume the office has worked with this specific waterproof system before.
The treating healthcare professional remains responsible for deciding whether the material is appropriate for the patient and for the actual clinical application of the cast.
⚠️ BEFORE YOU OPEN THE FIBERGLASS CASTING TAPE
The OrthoH2O stockinette can be handled during preparation. The sealed-pouch warning applies to the fiberglass casting tape.
Do not cut open a casting-tape pouch to check the color, feel the roll, or inspect it.
Fiberglass casting tape contains moisture-activated resin. Once the pouch is opened, humidity can begin the curing process.
Have the patient, stockinette, water, gloves, and work area ready before opening the first roll.
Open only the roll you are ready to activate and apply.
If a casting-tape pouch arrives torn, punctured, or already unsealed, do not open or use it. Photograph the unopened pouch and contact OrthoTape.
OrthoH2O Application Overview
The four OrthoH2O cast kits use the same waterproof-liner concept. The limb-specific cast shape and fiberglass application differ by cast type.
Prepare the patient and all casting materials before opening any fiberglass tape.
Slip the OrthoH2O tubular stockinette onto the limb.
Double the stockinette for proper thickness, as shown on the OrthoH2O instruction sheet.
Use the materials supplied with the kit unless the treating professional specifically directs otherwise.
Open and activate each fiberglass casting-tape roll only when ready to apply it.
Apply and mold the fiberglass using the appropriate cast technique for the body part.
Use this section for wrist, hand, and forearm short-arm cast applications. Apply the doubled OrthoH2O stockinette first, then complete the fiberglass short-arm cast using the treating professional's required position and molding technique.
Use this section for long-arm applications extending above the elbow. Apply the doubled OrthoH2O stockinette first, then complete the fiberglass long-arm cast using the prescribed elbow position and molding technique.
Use this section for below-knee ankle and foot cast applications. Apply the doubled OrthoH2O stockinette first, then complete the fiberglass short-leg cast using the prescribed ankle position and molding technique.
If a walking cast heel is installed: remind the patient that the heel assembly restricts airflow around the bottom of the cast. After the cast gets wet, the base of the cast and the area around the walking heel require extra attention with cool or low hair-dryer airflow to make sure they dry completely.
Use this section for long-leg applications extending above the knee. Apply the doubled OrthoH2O stockinette first, then complete the fiberglass long-leg cast using the prescribed knee and ankle position and molding technique.
After the Cast Gets Wet — Complete Drying Is Essential
For OrthoTape's customer-care protocol, use a hair dryer with cool or low airflow after every wet exposure and continue until the cast is completely dry.
Do not rely on air-drying alone. A waterproof cast will take longer to dry without assisted airflow, especially in areas where air does not circulate freely. Do not use a high-heat setting.
OrthoH2O cast kits are designed for water exposure when the treating professional approves swimming, bathing, or showering.
After pool or salt-water exposure, rinse the cast thoroughly with clean water.
Let excess water drain from the cast first.
Then use a hair dryer on cool or low airflow and continue drying until the liner and cast are completely dry.
Move the airflow around the cast and pay extra attention to thicker areas, edges, folds, and any area where hardware or accessories can restrict ventilation.
Follow the treating professional's instructions for skin checks, activity, and weight-bearing.
Short Leg Casts with a Walking Cast Heel
A walking cast heel can reduce airflow around the bottom of the cast. This makes the plantar surface and the area immediately around the walking heel more difficult to dry.
Direct cool or low airflow carefully around the base of the cast and around the walking cast heel until these areas are completely dry. Do not assume the cast is dry just because the outside surface feels dry.
Frequently Asked Questions
Should I give these OrthoH2O instructions to my doctor or cast technician?
Yes. Waterproof casting materials can be unfamiliar to some offices. Send or show this page and the appropriate application video before the cast is applied. It is the purchaser or patient's responsibility to make sure the treating office receives the instructions.
Is OrthoH2O applied the same way as traditional cotton cast padding?
No. OrthoH2O uses a water-resistant tubular stockinette that is applied and doubled for the proper thickness before the fiberglass cast is completed. The clinician should review the OrthoH2O application video before use if they have not used the system before.
Who should apply an OrthoH2O waterproof cast?
A trained healthcare professional or cast technician should apply the system. The treating professional remains responsible for cast selection, limb position, molding, weight-bearing instructions, and clinical care.
Can an OrthoH2O cast get wet?
OrthoH2O is intended for waterproof casting applications, but swimming, bathing, showering, and other water exposure should only occur when the treating healthcare professional approves it for that patient and injury.
Do I need to use a hair dryer after the cast gets wet?
For OrthoTape's customer-care protocol, yes. Let excess water drain, then use a hair dryer on cool or low airflow and continue until the liner and cast are completely dry. Do not use high heat and do not rely on air-drying alone.
What is different about drying a short leg cast with a walking cast heel?
A walking cast heel can restrict airflow around the plantar base of the cast. Direct cool or low airflow around the base and heel assembly and give that area extra drying time. Do not assume the inside is dry just because the exterior fiberglass feels dry.
Can I open a fiberglass casting-tape pouch before the appointment to check the color?
No. Keep each fiberglass casting-tape pouch sealed until the clinician is ready to activate and apply that roll. Opening the pouch exposes the moisture-activated resin to humidity and can begin curing.
OrthoTape specializes in waterproof casting systems and orthopedic casting supplies. This page combines the OrthoH2O application instructions, product-specific videos, sealed-tape handling guidance, and OrthoTape's post-water drying protocol in one reference for patients and treating professionals.
Need help before opening the casting tape?
If you are unsure which OrthoH2O kit or cast configuration you received, or a sealed fiberglass pouch appears damaged, contact OrthoTape before opening the pouch.
Shipped quickly, great quality, exactly what we needed. We had a really difficult time finding this type of brace in the right size for my daughter to return to gymnastics. So grateful to have found this one!