{"id":961,"date":"2010-12-02T18:27:36","date_gmt":"2010-12-02T18:27:36","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/plaster-splint-lower-leg-and-foot\/"},"modified":"2024-03-13T10:20:04","modified_gmt":"2024-03-13T10:20:04","slug":"plaster-splint-lower-leg-and-foot","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/bandages-and-bandaging-techniques\/support-and-immobilising-bandages\/plaster-splint-lower-leg-and-foot\/","title":{"rendered":"Plaster Splint &#8211; Lower Leg And Foot"},"content":{"rendered":"<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">The patient should be lying down on their back or front.<\/span><\/li>\n<li><span style=\"color: #003366;\">If lying on their back, the knee should be supported. <\/span><\/li>\n<li><span style=\"color: #003366;\">It is important to be aware that this starting position means extra attention should be paid to the <span style=\"color: #33cccc;\"><strong>correct joint position<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">In the case of an <span style=\"color: #33cccc;\"><strong>ankle sprain<\/strong><\/span>, any provisional compression bandaging should be removed and a new compression bandage should be applied.<\/span><\/li>\n<\/ul>\n<hr \/>\n<h3><span style=\"color: #003366;\"><strong>Material<\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">Stockinette; select the appropriate size.<\/span><\/li>\n<li><span style=\"color: #003366;\">Synthetic wadding.<\/span><\/li>\n<li><span style=\"color: #003366;\">Plaster rolls; select the appropriate width, to enable a half-cylinder to be formed; remove the plaster rolls from the packaging.<\/span><\/li>\n<li><span style=\"color: #003366;\">Absorbent bandage, to fix the plaster.<\/span><\/li>\n<li><span style=\"color: #003366;\">Crepe bandage or cambric bandage to finish off (if necessary).<\/span><\/li>\n<li><span style=\"color: #003366;\">Bandage scissors.<\/span><\/li>\n<li><span style=\"color: #003366;\">Bandage hook fasteners or plasters.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/125229705?dnt=1&amp;app_id=122963\" width=\"384\" height=\"288\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">Fill a small bucket with lukewarm water (<em>around 20\u00b0 C<\/em>) and place this as close to the treatment table as possible.<\/span><\/li>\n<li><span style=\"color: #003366;\">Ask the patient to lie on their back on the bench with their knee and ankle in 90\u00b0 of flexion.<\/span><\/li>\n<li><span style=\"color: #003366;\">If a compression bandage has been applied, a layer of padding is only required at points where the plaster may exert pressure (<em>for example, the calf<\/em>). In other cases, a stockinette and a layer of padding should be applied <em><strong>[Figure 130]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-956\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-130.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-130.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-130-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 130<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Partially unroll the plaster layer and determine the length of the splint by holding it against the lower leg and the foot.<\/span><\/li>\n<li><span style=\"color: #003366;\">Fold the unrolled plaster bandage into 5 to 6 layers. If using pure plaster of Paris, 10 to 12 layers will be necessary.<\/span><\/li>\n<li><span style=\"color: #003366;\">Cut away a bit of the plaster bandage for the ankle.<\/span><\/li>\n<li><span style=\"color: #003366;\">Fold the plaster layers in a concertina fashion and sub-merge them briefly under water. <\/span><\/li>\n<li><span style=\"color: #003366;\">If the plaster is held under water at an angle, a few seconds will be sufficient.<\/span><\/li>\n<li><span style=\"color: #003366;\">Remove the plaster bandage from the water and gently squeeze out any excess water.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stretch out the plaster splint and place it along the length of the calf <\/span><span style=\"color: #003366;\"><em><strong>[Figure 131]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-957\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-131.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-131.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-131-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 131<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Make sure that the ankle remains in 90\u00b0 flexion during moulding (<em>for injuries involving the lateral ligaments, the ankle should also be immobilised in slight eversion<\/em>) <em><strong>[Figure 132]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-958\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-132.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-132.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-132-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 132<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Avoid making any indentations with your fingers (<em>be mindful of the risk of pressure necrosis<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">Apply a <span style=\"color: #33cccc;\"><strong>wet absorbent roller bandage<\/strong><\/span> over the wet, moulded plaster <\/span><span style=\"color: #003366;\"><em><strong>[Figure 133]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-959\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-133.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-133.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-133-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 133<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Ensure that the joint is maintained in the correct position until the plaster has hardened.<\/span><\/li>\n<li><span style=\"color: #003366;\">Inform the patient that heat will be given off during the hardening process.<\/span><\/li>\n<li><span style=\"color: #003366;\">Instruct the patient to keep the injured leg elevated for another 1 to 2 days. <\/span><\/li>\n<li><span style=\"color: #003366;\">If necessary, they can walk using crutches as long as no weight is placed on the leg.<\/span><\/li>\n<li><span style=\"color: #003366;\">Ask the patient to inform you immediately if the <span style=\"color: #33cccc;\"><strong>toes<\/strong><\/span> on the <span style=\"color: #33cccc;\"><strong>immobilised leg turn blue<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>pale<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Instruct the patient to regularly move their toes<em><strong> [Figure 134<\/strong><strong>]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-960\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-134.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-134.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Bandages_ba-fig-134-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 134<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The patient should be lying down on their back or front. If lying on their back, the knee should be supported. It is important to be aware that this starting position means extra attention should be paid to the correct joint position. In the case of an ankle sprain, any provisional compression bandaging should be [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[85],"tags":[149],"class_list":["post-961","post","type-post","status-publish","format-standard","hentry","category-support-and-immobilising-bandages","tag-bandages-bandaging-techniques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Plaster Splint - Lower Leg And Foot - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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