Читать книгу Synopsis of Orthopaedic Trauma Management - Brian H. Mullis - Страница 32

III. Casting Techniques

A. Short leg cast

1. Support metatarsal heads.

2. Flex the knee to relax the gastrocnemius muscle.

3. Position the ankle in neutral dorsiflexion.

4. Ensure freedom of the toes.

5. Build up heel for walking casts—fiberglass much preferred for durability.

B. Long leg cast

1. Apply the below knee portion first with a thin layer proximally.

2. Flex the knee 5 to 20 degrees.

3. Mold the supracondylar femur for improved rotational stability.

4. Apply extra padding anterior to the patella.

C. Short arm cast

1. Metacarpophalangeal joints free and thumb free to the base of the metacarpal.

2. Distal extent of the cast ends at the proximal palmar crease.

3. Opposition of the thumb to the small finger should be unobstructed.