Page 136 - Orthopedic Casts and Splints2

Performance Steps

11
Place the injured ankle in neutral position

NOTE: All short leg walking casts( SLWC ) are applied in neutral position (90 degrees dorsiflexion)
absent of inversion and eversion, unless otherwise indicated by physician.
a. Place thigh stand under patient's leg (hamstring region )
CAUTION: Depending on the orthopaedic device used, the toes and foot may lose blood flow. Always
communicate with the patient and remove device if patient complains toes are falling asleep or
technician observes color change in the foot.
b. Place foot and ankle in neutral position.
NOTE: To assist the patient in maintaining a 90 degree angle, have the patient bend the knee and flex
the toes . The technician may use their own style to assist patient.
c. Place the stationary arm of the goniometer so that it bisects the fibula.
d. Place the moving arm of the goniometer so that it bisects the head of the fifth metatarsal.
e. Place the protractor of the goniometer on the lateral malleolus.
f. Set the ankle until the goniometer measures 90 degrees of dorsiflexion.
NOTE: Have patient simulate squashing a bug with the heel of their foot. This will assist in maintaining
the ankle at a 90 degree angle.

12. Apply cast padding (webril)(Figure 3-x).

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