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To correct deformities, as in serial casting for clubfoot (see Chapter 6 for the Ponseti technique) or joint contractures A cast that includes the trunk of the body and one or more limbs is a spica cast, just as is a cast that includes the "trunk" of the arm and one or more fingers or the thumb. For example, a shoulder spica includes the trunk of the body and one arm, usually to the wrist or hand. Shoulder spicas are almost never seen today, having been replaced with specialized splints and slings that provide early mobility of the injury to avoid joint stiffness after healing.
Not all of our products are eligible for VAT relief, so we are obliged to charge VAT for those products even after you complete this form. StayGuard™ orthopedic casting bandages are used in hospitals, clinics, for first aid, and for any other medical application that requires a part of the body to be immobilized and stabilized until the healing process has concluded. Available is various colors and sizes, these bandages are an alternative to plaster of paris bandages. INTERESTED IN MORE PRODUCTS?A good description of Seutin's technique was provided by Sampson Gamgee who learned it from Seutin in France during the winter of 1851–52 and went on to promote its use in Britain. The limb was initially wrapped in wool, especially over any bony prominences. Pasteboard was then cut into shape to provide a splint, and dampened so it could be molded to the limb. The limb was then wrapped in bandages before a starch coating was applied to the outer surface. Seutin's technique for the application of the starch apparatus formed the basis of the technique used with plaster of Paris dressings today. The use of this method led to the early mobilization of patients with fractures and a marked reduction in hospital time required. Your doctor will explain any restrictions on using your injured arm or leg while it is healing. You must follow your doctor's instructions carefully to make sure your bone heals properly. The following information provides general guidelines only and is not a substitute for your doctor's advice. Figure 8-1. A: Three-point plaster fixation will stabilize a fracture when the soft tissue bridging the fracture acts as a hinge under tension. B: If the three forces are applied in the wrong direction, the fracture displaces. Where the patient is not to walk on the injured limb, crutches or a wheelchair may be provided. The foot's under-sole portion of a leg cast may be extended terminating at the tip of the patient's toes, to create a rigid support that limits motion of the metatarsals in both weight bearing and non-weight bearing leg casts. These are referred to as toeplates in the orthopedic discipline of medicine. This addition may be applied to further support and stabilize the metatarsals by limiting motion through a higher degree of immobilization, as well as protecting the toes from additional blunt force trauma. Typically leg casts with no toeplate are prescribed for injuries to the foot and metatarsals. Ordinarily, a leg cast applied for the treatment of a stable ankle fracture would not use the toeplate design because there is no need to immobilize and limit the motion of the patient's toes. Apply forearm casts to allow full 90° flexion of all metacarpophalangeal joints and opposition of the thumb to the index and little fingers.
In some cases, a cast may include the upper and lower arm and the elbow, but leave the wrist and hand free, or the upper and lower leg and the knee, leaving the foot and ankle free. Such a cast may be called a cylinder cast. Where the wrist or ankle is included, it may be called a long arm or long leg cast. [ citation needed] Body [ edit ]Casts and splints are used when a bone is broken. They can also be used following orthopedic surgery. Sometimes splints are used immediately following an injury due to swelling of the affected area. After the swelling goes down, then a full cast might be applied to the injured limb. Use appropriate draping to maintain the dignity of the patient as well as to keep plaster off all areas not casted. Pressure sores: A sore may develop on the skin under the cast. This can happen because the cast was too tight or did not fit correctly, causing excess pressure on one area. Orthopedic Casting Tape, also known as an Orthopedic Casting Bandage, is a strong, durable, moldable and comfortable casting tape/bandage that offers some advantages compared to common plaster of paris bandages. Like plaster bandages, fiberglass and polymer are easy to apply, but light-weight and more durable. Fiberglass or polyester impregnated with polyurethane, also producing less mess when applied, is commonly used for non-displaced fractures and severe soft-tissue injuries. STAYGUARD™ IS THE BRAND OF CHOICE Swelling due to your injury may cause pressure in your splint or cast for the first 48 to 72 hours. This may cause your injured arm or leg to feel snug or tight in the splint or cast. If you have a splint, your doctor will show you how to adjust it to accommodate the swelling.
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