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Chapter 5: Casting and Splinting Techniques

Introduction to Casting and Splinting

Casting and splinting are essential techniques in orthopaedic care, playing a critical role in
immobilizing fractures, stabilizing soft tissue injuries, and supporting post-surgical healing. The
ability to properly apply and manage casts and splints is a vital skill for orthopaedic
technologists, as these devices ensure proper alignment, promote healing, and prevent
complications such as malunion or prolonged immobilization-related issues.

The selection of the appropriate casting or splinting material depends on various factors,
including the type and location of the injury, patient activity level, and specific treatment goals.
Orthopaedic technologists must possess a thorough understanding of different materials, their
application methods, and the biomechanics of immobilization to optimize patient outcomes.
Moreover, proficiency in troubleshooting common casting problems, ensuring patient comfort,
and providing post-application care instructions are integral components of effective fracture
management.

This chapter provides an in-depth exploration of casting and splinting materials, techniques for
upper and lower extremity applications, specialty immobilization methods, common
complications, and patient education. Mastery of these skills is critical in delivering high-quality
orthopedic care, enhancing patient recovery, and minimizing risks associated with improper
immobilization. Orthopaedic technologists must be proficient in selecting the appropriate
materials, applying casts and splints correctly, and educating patients on proper care to prevent
complications.

This chapter provides a comprehensive guide to casting and splinting techniques, covering
material selection, step-by-step application procedures, troubleshooting common problems, and
patient care. Mastering these skills is vital for ensuring optimal healing and patient comfort while
minimizing complications such as pressure sores, skin breakdown, and improper immobilization.

Introduction to Casting Materials and Tools

The selection of appropriate casting and splinting materials is fundamental to ensuring effective
fracture management, soft tissue stabilization, and post-surgical healing. Orthopaedic
technologists must be proficient in understanding the properties, advantages, and limitations of
different casting materials to ensure optimal patient care. Various materials are used depending
on the injury type, location, and patient needs. Additionally, the tools and techniques employed
in casting and splinting require precision and expertise to avoid complications such as pressure
sores, improper immobilization, and skin irritation.

This section provides an in-depth review of casting materials, splinting options, and essential
tools used in the application, maintenance, and removal of immobilization devices.