Page 199 - Orthopedic Casts and Splints2

Performance Steps

3
Short Leg Splint

NOTE: The Short Leg splint is applied from the tips of the toes to 3 inches distal to the popliteal
region ( bend of knee) with the ankle at a 90 degree angle. The knee and toes will have full range of
motion. (refer to Figure 3-x).

CAUTION: During the splinting application a chemical response(exothermic reaction) will occur
between the water(H2O) and the plaster ( gypsum). This is a normal common occurrence and safe
chemical reaction. 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.

4. Inspect patient's injured leg/ankle .
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.
b. Place patient supine on the examination bed.
c. Have patient remove shoes and socks from both feet and roll pant leg above the injured
knee.
NOTE: If patient is unable to get pants easily above knee, provide patient with paper shorts or
hospital scrubs. If unavailable, cut the pant leg at the seam.
d. Check patient's injured leg for any skin conditions ( e. g. cuts, abrasions, lacerations and skin
rashes ).

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