Page 193 - Orthopedic Casts and Splints2
P. 193
Performance Steps
NOTE: The following sequence is used for applying the cast padding as well as the cast material :
begin at the pubic symphysis, greater trochanter, gluteal fold, peroneal crease, inguinal ligament,
anterior superior iliac spine, lower sacrum, opposite anterior superior iliac spine, inguinal ligament,
peroneal crease, gluteal fold, greater trochanter, pubic symphysis.
e. Place the edge of the webril at the proximal edge of the stockinette on the uninjured leg and
continue down the torso overlapping figure of eight between the torso( inguinal region) and
upper leg, wrapping around the thigh and continue to the base of the thigh.
f. With each turn overlap the webril by 1/2-1/4 the previous wrap. The top of the webril should
bisect the middle of the previous layer covering up the shallow line and present evenly
applied padding.
16. Prepare casting materials.
17. If using fiberglass casting materials go to step 19 then 20.
18. If using plaster casting materials go to step 21.
19. Place fiberglass casting gloves on hands.
Caution: The use of fiberglass casting gloves is mandatory to prevent the technician from receiving
chemical burns when applying a fiberglass cast.
20. Open fiberglass casting package and go to step 21.
NOTE: Open one fiberglass package at a time, as fiberglass begins to cure and harden after contact
with air.
21. Apply 1st and 2nd plaster/fiberglass roll to injured leg.
NOTE: Examination gloves are recommended to protect the technician's hands as the resin in the
plaster rolls may cause the skin on the hands to dry up.
a. Hold plaster or fiberglass roll with hand.
b. With opposite hand unroll the plaster or fiberglass 1/2-1 inch and grasp edge with thumb,
index and middle fingers.
NOTE: Alternative method may be used.
c. Place the plaster or fiberglass roll in the bucket of tepid water and remove when bubbles
cease to rise.
CAUTION: Removal of casting material prior to the cessation of bubbles will indicate the presence of
dry spots in the casting material. Dry spots in the casting material will reduce the integrity of the cast if
applied.
d. Squeeze the roll together(do not wring the roll).
NOTE: To evenly distribute the water and prevent telescoping of the roll during application gently
squeeze the roll inward
e. Place the edge of the casting material 1inch distal to the stockinette edge and begin
wrapping around the torso.
f. Continue down the torso overlapping figure of eight between the torso ( inguinal region )
and upper leg ending at the metatarsals.
NOTE: The following sequence of application is used most often: beginning at the pubic symphysis,
greater trochanter, gluteal fold, peroneal crease, inguinal ligament, anterior superior iliac spine, lower
sacrum, opposite anterior superior iliac spine, inguinal ligament, peroneal crease, gluteal fold, greater
trochanter, pubic symphysis.
g. Place the edge of the cast material at the proximal edge of the stockinette on the uninjured
leg and continue down the torso overlapping figure of eight between the torso( inguinal
region) and upper leg, wrapping around the thigh and continue to the base of the thigh.
h. Overlap the cast material by 1/2-1/4 the previous wrap. The top of the cast material should
bisect the middle of the previous layer and present evenly applied padding.
22. Laminate the casting material.
a. Place palm of each hand on the cast.
190