Casting of lower limb for pediatric fractures

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.

The below videos are taken from the AO Publication "Casts, Splints, and Support Bandages - Nonoperative treatment and perioperative protection" edited by Klaus Dresing, Peter Trafton, and Jos Engelen. This publication examines the principles, methods, and techniques for applying a modern plaster or synthetic cast for the treatment of fractures, ligament, nerve, and soft-tissue injuries, overload injuries, and infections. It includes access to 55 cast and splint demonstrations on high-quality online video.

The book can be purchased both as a hard copy and as a E-Book. 

• Table of content (pdf)

• Chapter 14.1 Overview of cast, splint, orthosis, and bandage techniques (pdf)

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

Indications

• Fracture of the tibia
• Fractures around the knee

Goal

• Stabilization of the knee and lower leg

Indications

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

Goal

• Stabilization of the ankle joint and foot

Indications

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

Goal

• Stabilization of the ankle joint and foot

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

Indications

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

Goal

• Stabilization of the first toe and first ray

Indications

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

Goal

• Stabilization of hindfoot, midfoot and forefoot

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

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

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

Indications

• Pediatric fracture of the femur

Goal

• Stabilization of the leg and hip

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

Indications

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

Goal

• Stabilization of the tibia

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

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

Indications

• Pediatric fracture of the femur

Goal

• Stabilization of the leg and hip

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.