Manual of Splinting and Casting

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Overview 1. Cervical spine traction is accomplished with placement of calipers or tongs to the skull and attachment to a pulley system secured to a bed. 2. Although a wide variety of tongs exist, Gardner-Wells tongs are the most frequently…

Overview Calcaneal traction is accomplished with placement of a pin across the posterior aspect of the calcaneus and attachment to a pulley system secured to a bed. Indications for Use Tibial shaft fractures You’re Reading a Preview Become a Clinical…

Overview Tibial traction is accomplished with placement of a pin across the proximal tibial metadiaphysis and attachment to a pulley system secured to a bed. Indications for Use Femoral shaft fractures You’re Reading a Preview Become a Clinical Tree membership…

Overview Femoral traction is accomplished with placement of a pin across the distal femur and attachment to a pulley system secured to a bed. Indications for Use 1. Acetabular fractures 2. Proximal femur fractures You’re Reading a Preview Become a…

Hip Spica Cast Overview 1. A hip spica cast is one of the most difficult casts to apply. 2. It is generally composed of an abdominal portion attached to a long leg cast, which is a so-called “double spica cast.”…

Figure-of-8 Splint Overview 1. Figure-of-8 splints are primarily used for fractures about the clavicle. 2. Figure-of-8 splints are commercially prepared devices intended to create a reduction force on the clavicle. 3. No difference in outcome is seen between a figure-of-8…

Basic Principles First, Do No Harm 1. Make sure that the potential complications of applying and maintaining a cast or splint are less severe and are less likely than the complications of an untreated injury. 2. A poorly made splint/cast…

Pelvis Reduction Overview 1. Application of a pelvic binder is a key step in the initial management of an unstable pelvic fracture. 2. Commercial pelvic binders are available, or a simple bedsheet may be used as a pelvic binder. 3.…

Forearm Fractures Overview 1. Fractures of both bones of the forearm ( Fig. 10.1 ) should be anatomically reduced (except in children younger than 12 years) to preserve forearm rotation. a. Only accept as much deformity as can be remodeled in…