Casting of lower limb

1. General introduction to nonoperative fracture care

Klaus Dresing and Jos Engelen are presenting a live interactive Webcast.

Learning goals

  • Describe the characteristics of the different casting materials.
  • Explain the principles of cast application.
  • Define the basic steps of post application treatment.
  • Recognize potential for and prevent complications.
  • Apply casts and splints and prescribe orthoses.

2. Videos from "Casts, Splints, and Support Bandages—Nonoperative Treatment and Perioperative Protection"

Antirotation short leg cast

Synthetic, combicast technique

Indications

  • Traumatic hip dislocation
  • Hip dislocation after arthroplasty

Goal

  • To prevent rotation of the leg

Cylinder long leg cast

Synthetic, combicast technique

Indications

  • Fracture of the distal femur
  • Fracture of the proximal tibia
  • Fracture of the patella
  • Ligamentous rupture of the knee

Goal

  • Stabilization of the knee joint

Dorsal long leg splint

Plaster of Paris

Indications

  • Fracture of the tibia
  • Fractures around the knee

Goal

  • Stabilization of the knee and lower leg

Dorsal short leg splint

Plaster of Paris

Indications

  • Fracture of the ankle
  • Fracture of the tarsal bones
  • Ligamentous ruptures

Goal

  • Stabilization of the ankle joint and foot
Synthetic

Indications

  • Fracture of the ankle
  • Fracture of the tarsal bones
  • Ligamentous ruptures

Goal

  • Stabilization of the ankle joint and foot

Fifth metatarsal cast

Synthetic, combicast technique

Indications

  • Fracture of the proximal fifth metatarsal
  • Fracture of the ankle, type Weber A
  • Avulsion fracture of the medial malleolus

Goal

  • Stabilization of the ankle joint and the tarsus

First toe orthosis

Synthetic, combicast technique

Indications

  • Fracture of the first toe
  • Perioperative protection after hallux valgus surgery

Goal

  • Stabilization of the first toe and first ray

Foot cast

Synthetic, combicast technique

Indications

  • Fracture of the metatarsals
  • Fracture of tarsals
  • Postoperative treatment after osteosynthesis of tarsals and metatarsals

Goal

  • Stabilization of hindfoot, midfoot and forefoot

Hinged knee brace

Indications

  • Fracture of the diaphyseal and distal femur
  • Fracture of the proximal tibia
  • Knee dislocations and ligamentous lesions
  • As an alternative to a prefabricated orthosis
  • This hinged brace is not for primary care

Goal

  • Stabilization of the knee allowing limited motion of knee joint
  • Functional treatment of the knee

Long leg cast

Plaster of Paris

Indications

  • Fracture of the distal femur
  • Fracture of the proximal tibia
  • Fracture of the tibial shaft

Goal

  • Stabilization of the distal upper leg and the lower leg
Synthetic, combicast technique

Indications

  • Fracture of the distal femur
  • Fracture of the proximal tibia
  • Fracture of the tibial shaft

Goal

  • Stabilization of the distal upper leg and the lower leg

One-and-a-half leg hip spica cast

Plaster of Paris

Indications

  • Pediatric fracture of the femur

Goal

  • Stabilization of the leg and hip

Removable ankle splint

Synthetic, combicast technique

Indications

  • Postoperative protection after ankle osteosynthesis
  • Nondisplaced ankle fractures
  • Ligamentous ruptures
  • Ankle sprain
  • Fracture of the proximal fifth metatarsal

Goal

  • Stabilization of the ankle joint

Removable fifth metatarsal cast

Synthetic, combicast technique

Indications

  • Fracture of the proximal fifth metatarsal
  • Fracture of the ankle, type Weber A
  • Avulsion fracture of the medial malleolus

Goal

  • Stabilization of the ankle joint and the tarsus

Removable foot cast

Synthetic, combicast technique

Indications

  • Fracture of the metatarsals
  • Fracture of tarsals
  • Postoperative treatment after osteosynthesis of tarsals and metatarsals

Goal

  • Stabilization of hindfoot, midfoot and forefoot

Sarmiento (patella tendon bearing) cast

Plaster of Paris

Indications

  • Stable diaphyseal fractures of the tibia limited to the distal two-thirds of the tibial shaft
  • Primary unstable tibial fractures at the hard callus formation stage

Goal

  • Stabilization of the lower leg

Sarmiento tibial brace

Synthetic, combicast technique

Indications

  • Some diaphyseal fractures of the tibia
  • Not recommended for primary fracture care

Goal

  • Stabilization of the tibia

Short leg cast

Rigid synthetic

Indications

Secondary treatment of:

  • Fracture of the distal tibia
  • Fracture of the ankle
  • Fracture of the foot

Goal

  • Stabilization of the distal tibia, the ankle, and the foot
Synthetic, combicast technique

Indications

Secondary treatment of:

  • Fracture of the distal tibia
  • Fracture of the ankle
  • Fracture of the foot

Goal

  • Stabilization of the distal tibia, the ankle, and the foot

Single leg hip spica cast

Synthetic, combicast technique

Indications

  • Pediatric fracture of the femur

Goal

  • Stabilization of the leg and hip

Ankle and foot bandage

Support bandages

Indications

  • Ankle sprain
  • Instability of the ankle joint

Goal

  • Stabilization of the ankle joint

3. Webinar

Casting in Children - Indications and Techniques

Theddy Slongo is presenting an interactive webinar about casting in children discussing indications and techniques.

Learning objectives:

  • Identify those fractures which are suitable for conservative treatment.
  • Explain the main biomechanical principles of cast fixation.
  • Recognize the difference between conventional plaster of Paris and fiber casting tape.
  • Describe the steps of correct casting techniques for the most frequent indications.
  • Anticipate the major risks and complications of casting.