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o Commonly used in emergency settings for initial stabilization before definitive
casting.
• Prefabricated Splints
o Ready-to-use devices designed for wrist, ankle, knee, or elbow support.
o Frequently used in outpatient settings for mild sprains, ligament injuries, and
post-operative stabilization.

3. Essential Tools for Casting and Splinting

The successful application of casts and splints requires the use of specialized tools to ensure
proper fit, patient comfort, and ease of removal.

• Stockinette
o A soft, stretchable fabric placed as the first layer to protect the skin and prevent
irritation.
o Provides an additional barrier between the cast and the patient’s skin.
• Cast Padding (Cotton or Synthetic)
o Ensures comfort and helps prevent skin breakdown.
o Cotton padding absorbs moisture but is less durable; synthetic padding is more
water-resistant.
o Applied in layers to cover bony prominences and prevent pressure sores.
• Water Source
o Used to activate plaster and fiberglass materials.
o Temperature-controlled water ensures optimal setting time.
• Bandage Scissors and Shears
o Specially designed scissors with blunt tips to cut stockinette and padding without
injuring the patient.
• Cast Saw
o A motorized oscillating tool used for safe cast removal.
o Designed to cut through the rigid outer shell without damaging underlying soft
tissue.
• Gloves and Protective Drapes
o Gloves prevent direct skin contact with fiberglass material, reducing the risk of
irritation.
o Drapes protect the surrounding environment from excess plaster or fiberglass
residue.

By understanding the appropriate use of these materials and tools, orthopaedic technologists can
ensure effective immobilization, minimize complications, and enhance patient outcomes in
casting and splinting procedures.

• Stockinette (for skin protection)
• Cast padding (cotton or synthetic)
• Water source (for material activation)
• Bandage scissors
• Cast saw (for removal)