Page 156 - ASOP Orthopedic Casting Manual

3.6.3 Posterior Rigid Splint cont ...

Stockinette Application

A stockinette provides a protective bar rier bet ween the skin and padding
materials, preventing ir ritation.

Choose a stockinette wid th appropriate for the limb (t ypically 2^4 inches

for ex tremit y splints).Measure the stockinette:

Measure the length required for the stockinette - Cut the stockinette

approximately 2^3 inches longer than the anticipated splint length to
allow for secure tucking.

Apply the stockinette: Slide the stockinette over the patient's foot/ankle
and up their lower leg, ensuring it covers the entire area where the splint
will be applied. Smooth out any wrinkles or folds.

Padding Application

Padding protects the skin and provides cushioning to prevent pressure sores.

Use soft, or thopedic padding (cotton or synthetic) for comfor t and shock
absorption.

Apply the Padding: L1MStar t at the foot/toes and wrap circumferentially in
an over lapping pattern L50% over lap) to ensure full coverage to the
desired proximal end; L2M Ex tend the padding 2^3 inches beyond the

expected splint length; L3M Ensure additional padding over bony
prominences (e.g., ulnar st yloid, olecranon) to prevent pressure sores.

Secure the Padding: L1M Smooth out wrinkles to prevent pressure points;
L2M Ensure a snug, but not over ly tight, application to allow for mild
swelling.