Page 134 - Orthopedic Casts and Splints2

Performance Steps

8b
Webril can be used to measure the length needed for the stockinette

NOTE: For proper measurement of the stockinette, the patient's ankle must be at a 90 degree ankle.

NOTE: Measurements are taken on the uninjured leg to prevent further pain to the patient's inured leg.

NOTE: Instruments of measurements may vary ( e.g. tape measure, ruler, or webril ).
c. Pull down stockinette from stockinette container and cut measured length.
d. Roll stockinette leaving a 1-2 inch cuff at the distal edge. Place on work cart/station for later
use.

9. Prepare plaster reinforcement splint for the posterior aspect of the cast.
NOTE: The plaster reinforcement splint will be prepared for the posterior side of the injured leg/ankle.
a. Open box of 5 x 30 inch plaster reinforcement sheets. Remove and unwrap package. Locate
edge of one stack and remove from package. Place on work cart/station.
NOTE: 5 x 30 inch plaster splints are usually stacked in increments of five from the manufacturer. If
not pre stacked, count out five layers of plaster sheets.
b. Measure from 3 inches distal to the popliteal space ( or 1 finger width from the fibula
notch/head) to the web spacing of the toes.
CAUTION: The peroneal nerve is located on the lateral side of the leg. If the nerve is constricted it
could die and cause drop foot( known as nerve palsy ). This is an irreversible condition. Locate the
fibula notch/ head and measure 1 finger breath width below to prevent this condition.

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