Page 18 - Orthopedic Casting Manual

2.2 Essential Tools and Equipment

The application of a cast involves various tools and equipment, each ser ving a
specific pur pose:

• Padding Materials
◦ Cotton Padding: Used with plaster casts for cushioning and to prevent

skin ir ritation.
◦ Synthetic Padding: Compatible with fiberglass casts and water-resistant

options.
◦ Stockinette: A tubular layer applied directly to the skin, providing an

additional bar rier bet ween the cast and the skin LGalloway et al., 2022M.

• Casting Rolls
◦ Plaster Rolls: Used for traditional casts, easily molded to fit anatomical

structures.
◦ Fiberglass Rolls: Stronger and lighter, these rolls are the standard for most

moder n casts.
• Cutting and Trimming Tools
◦ Oscillating Saw: Essential for safe removal of hardened casts. The sawʼs

oscillating blade cuts through the material without har ming the patientʼs
skin.
◦ Cast Scissors: Used for trimming during application or for splinting.

• Mixing Tools
◦ Buckets and Bowls: Used to moisten casting rolls. Water temperature is

critical; war m water accelerates setting time, while cool water slows it.

• Protective Gear
◦ Gloves, aprons, and masks protect the practitioner from dust, resin, and

other materials.