Page 149 - Orthopedic Casts and Splints2

Performance Steps

20f
Achilles mold

g. Remove hands from the cast when contours of the malleolus, tibia, calcaneus, achilles and
arch have been shaped and the cast is cured.
NOTE: All casts require a mold. Crooked casts equal straight.
21. Check range of motion ( ROM ) of phalanges.
a. Have patient extend, flex toes.
b. Cut the webril at the distal, proximal edges and at the base of the 5th metatarsophalangeal
joint (MTPJ)
CAUTION: The finished edge of the cast should end proximal to the base of the fifth MTPJ to avoid
nerve impingement.
c. Fold and tack down the webril and stockinette.
22. Check alignment of injured ankle with goniometer.(figure 3-x)

146