Page 63 - C:\Users\cbaro\OneDrive\Documents\Flip PDF Professional\Study Guide for the Orthopaedic Technology Certification Exams\

• Check for signs of complications: Edema, discoloration, or skin irritation may require
caution during removal.
• Explain the procedure to the patient: Many patients fear the cast saw, so a
demonstration can help reduce anxiety.
• Ensure proper positioning: Position the limb on a stable surface to prevent unnecessary
movement.

Use of Cast Saw:

• The cast saw is an oscillating tool that vibrates rather than rotates, reducing the risk of
cutting soft tissue.
• Safety Tips:
o Move the saw in a steady, controlled back-and-forth motion.
o Avoid prolonged contact with one area to prevent heat buildup, which may cause
burns.
o Cut along the sides of the cast rather than directly over bony prominences.
o Use a cast spreader to gently separate the two halves of the cast after cutting.
o Use bandage scissors to cut through the padding and stockinette.

Potential Risks and How to Mitigate Them:

• Burns from saw heat: Keep the saw moving and avoid extended contact in one spot.
• Skin abrasions from rough edges: Smooth out any sharp edges before removing the
cast completely.
• Patient movement causing unintended injury: Ensure the limb remains still throughout
the process.

Alternative Removal Methods:

• Soaking and Softening: In certain cases (especially pediatric fiberglass casts), the cast
can be soaked in warm vinegar water to weaken the material before gentle peeling.
• Manually Splitting the Cast: For lightweight splints or specific custom-fitted orthoses,
manual removal may be an option.
• Use of Cast Saw:
o Demonstrate to the patient that the blade vibrates rather than cuts.
o Move the saw in a back-and-forth motion to prevent heat buildup.
o Avoid prolonged contact with one area to reduce burn risk.

2. Post-Removal Skin and Muscle Care

After cast removal, patients may experience dry skin, muscle stiffness, and reduced range of
motion. Proper post-removal care is essential for ensuring a smooth transition to full mobility.

Common Post-Removal Findings:

• Dry, flaky skin: Due to prolonged lack of air exposure and trapped sweat inside the cast.