Splinting: Difference between revisions
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==Background== | |||
===Splint Materials=== | |||
*Stockinette <ref name="Principles of Casting and Splinting">Principles of Casting and Splinting | |||
http://www.aafp.org/afp/2009/0101/p16.html | |||
Accessed April 4, 2017</ref> | |||
**Cloth sleeve | |||
**Base layer for splint/cast | |||
**Protects skin | |||
*Cast padding (eg Webril) | |||
**Used with plaster of Paris | |||
**2-3 layers with padding of bony points as needed | |||
**Wrapping circumferentially with 50% overlap will automatically create 2 layers | |||
*Plaster of Paris | |||
**6-10 layers for upper extremity splints, 12-15 for lower extremity splints | |||
**Takes 20 minutes to cure, sooner if warmer water is used | |||
**Watch for exothermic reaction | |||
*Elastic bandage | |||
**Outer layer to hold splint in place | |||
**Excessive tightness can lead to pain, less room for swelling | |||
*Fiberglass | |||
**Pre-wrapped material | |||
**Use cool or room temperature water | |||
**Not as pliable as plaster of Paris | |||
**Trim or cover cut edges to prevent injury | |||
===Pearls=== | |||
*Try to avoid large crinkles/folds with padding, can cause skin damage and breakdown | |||
*Apply splint firmly but not too tight | |||
**Allow room for anticipated swelling | |||
**Tight splint can lead to compartment syndrome | |||
*Mold splint material with palms rather than fingers to prevent ridges, may be uncomfortable for patient | |||
==Splint Types== | ==Splint Types== | ||
*Hand | *Hand | ||
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File:Posterior Ankle Splint.gif|[[Posterior ankle splint]] | File:Posterior Ankle Splint.gif|[[Posterior ankle splint]] | ||
</gallery> | </gallery> | ||
==Complications== | ==Complications== | ||
Revision as of 20:48, 15 March 2023
Background
Splint Materials
- Stockinette [1]
- Cloth sleeve
- Base layer for splint/cast
- Protects skin
- Cast padding (eg Webril)
- Used with plaster of Paris
- 2-3 layers with padding of bony points as needed
- Wrapping circumferentially with 50% overlap will automatically create 2 layers
- Plaster of Paris
- 6-10 layers for upper extremity splints, 12-15 for lower extremity splints
- Takes 20 minutes to cure, sooner if warmer water is used
- Watch for exothermic reaction
- Elastic bandage
- Outer layer to hold splint in place
- Excessive tightness can lead to pain, less room for swelling
- Fiberglass
- Pre-wrapped material
- Use cool or room temperature water
- Not as pliable as plaster of Paris
- Trim or cover cut edges to prevent injury
Pearls
- Try to avoid large crinkles/folds with padding, can cause skin damage and breakdown
- Apply splint firmly but not too tight
- Allow room for anticipated swelling
- Tight splint can lead to compartment syndrome
- Mold splint material with palms rather than fingers to prevent ridges, may be uncomfortable for patient
Splint Types
- Hand
- Arm
- Leg
Splint Types Gallery
Complications
See Also
Fracture management overview
- Upper extremity
- Torso
- Lower extremity
- Other
References
- ↑ Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 4, 2017