Page 123 - Orthopedic Casts and Splints2

Performance Steps

3
LLCC

NOTE: The Long Leg Cylinder Cast ( LLCC ) is applied 2 inches proximal to the greater trochanter( on
the lateral side), 4 inches distal from the groin on the medial side and 3 inches proximal to the medial
malleolus, with the knee flexed between 0- 15 degrees. (Refer to Figure 3-x)

CAUTION: During cast application a chemical response(exothermic reaction) will occur between the
water(H2O) and the plaster ( gypsum). This is a safe and common occurrence. The cast will initially
become warm and cool down within 2-5 minutes. However, if it doesn't cool down or there is an
increase of heat intensity during the cast application, the cast may need to be removed.

Note: The LLCC has a high incidence of slipping after two -three days after application. Therefore, the
technician may prefer to use an adhesive applicator to reduce cast slippage. Tincture of benzoin
should be applied to the injured leg prior to webril application. It is the technician preference to use
tincture of benzoin or stockinette.

4. Inspect injured leg/ankle with patient supine on the examination bed.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.
b. Place the patient supine on the examination bed.
c. Remove patient's shoes and socks from both feet.
d. Remove patient's pants.

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