Page 118 - Manual of Equine Field Surgery
P. 118

114                       LIMB  SURGERIES




























































                           Figure 19-1  Supplies used in cast application.  From                                                                      Figure  19-4  A  cast  where  all  layers  have  cured


                           left  to  right,  stockinette,  orthopedic  felt,  foam  cast                                                              simultaneously,


                           padding,  and fiberglass  casting  material.




























































                           Figure 19-2  Applying a double  layer of stockinette.                                                                      Figure  19-5  A  cast  where  individual layers  of  cast


                                                                                                                                                      material have cured separately. The result  is a weak cast

                                                                                                                                                      prone to break.





                                                                                                                                                      water.  Specific directions  for handling  vary with


                                                                                                                                                      each manufacturer.  Generally,  the  cast material  is



                                                                                                                                                      immersed  in  water  at room  temperature  ( 68° to


                                                                                                                                                      77° F, 20° to 25°  C)  and squeezed  four to five times


                                                                                                                                                      while immersed,  before application.  Cast  material


                                                                                                                                                      curing time can be slowed slightly by exposing  the


                                                                                                                                                      material to cooler water for a shorter  time period.



                                                                                                                                                      As  cast material  cures, it stiffens  to  provide  rigid


                                                                                                                                                      support.  All layers of the  cast should  cure  simul-


                                                                                                                                                      taneously to provide  adequate  strength. Once cast


                                                                                                                                                      application  is  begun,  subsequent  layers  of  cast


                                                                                                                                                      tape  must  be  applied  rapidly to  avoid  individual
                           Figure  19-3  Orthopedic  felt  applied  at  the  antici-


                          pated  proximal  limit  of the cast.                                                                                        layers  of cast material stiffening before becoming

                                                                                                                                                      bonded  to  the  surrounding  layers  (Figures  19-4



                           Handling of Cast Material                                                                                                  and  19-5).





                          The strength of a cast depends  on the thickness of                                                                         Application of Cast Material


                          the  cast  and  the bonding between  the  individual


                          layers of cast tape.  The  polyurethane  resi11  iI1  the                                                                  A layer of cast padding  is  applied before  the cast



                          casting  tape  starts  to  cure  when  immersed  in                                                                        material is applied to ensure even contact between
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