The Beginning of Better Healing

Transcription

1 The Beginning of Better Healing is available in the following sizes: ILP Interlocking Performance Unique technology offered on the new Single Layer Don t forget to ask your BSN medical representative about our other fine products including: Actimove Sling Co-Plus LF Easifix Cohesive Strap Kits Call our Customer Service at or visit Trademarks of BSN medical 007 BSN medical CODE SIZE FORMAT cm x.6 cm roll cm x.6 cm roll cm x.6 cm roll cm x.6 cm roll cm x.6 cm roll cm x.6 cm roll cm x. cm roll is also available in Pre-Cut Format. Splinting Guide and Training Manual Fifth Edition Proud Sponsor of the Educational Program BSN medical Inc. 55, autoroute Laval ouest, suite 55 Laval, (QC) Canada H7P W6 5,00 $

2 Table of Contents Introduction Application - Preparation Guidelines 5 Tips for Better Splinting 6 Quick Reference Chart - UPPER EXTREMITIES 7 UPPER EXTREMITIES Quick Reference Chart - LOWER EXTREMITIES LOWER EXTREMITIES Knee Immobilizer Reinforced Posterior Leg Splint (Folded) 5 Reinforced Posterior Leg Splint (Butterfly) 6 Ankle Stirrup 7 Posterior Ankle (Darted) 8 Finger Protector 8 Finger Strip 9 Finger Splint 0 Figure-8 Thumb Thumb Spica Thumb & Wrist Immobilizer Volar Splint Volar Dorsal 5 Dorsal Splint 6 Teardrop Splint 7 Boxer Splint 8 Reverse Sugar Tong 9 Elbow Splint 0 Dorso-Lateral Elbow Splint Coaptation Splint BSN medical 007 This manual cannot be copied or mechanically reproduced without the express written permission of BSN medical.

3 Introduction This manual has been designed as an aid to rapidly determine the correct product format and usage for a wide variety of injuries where splinting is indicated. The information in this manual is intended to be used only as a general guideline. Always consult the physician in charge before applying and positioning the splint. The functional positions described are indicated for many injuries. However, it is important to position appropriate to the injury, individual patient needs, and physician preference. Splinting System offers a wide range of benefits. Fast: Requires minimal water to activate. Initial set time in to minutes and weight-bearing in 0 minutes. Comfortable: Single layer of synthetic fiber increasing conformability, closer fit. Soft double-sided padding pushing humidity away from the skin. Light and compact with rounded edges for better patient comfort. Easy to apply & Versatile: No wrong side application; no mistakes or waste of time Padding with double-sided tape allowing to cut and shape the fiber, offering the possibility for multiple adapted applications. Complete range of widths; from.5 cm to 0 cm. Cost Effective: Can be removed and reapplied after therapy. Minimal wastage; use only what is required. Re-sealable package ensuring product longevity. Safe: No wrong side application; no risk for the patient. Exposed edges easily protected by the stretchable padding. Single layer of synthetic fiber reducing the formation of wrinkles; less risks of pressure points.

4 Application Preparation Guidelines Select splint width and cut to desired length. Immediately reseal remaining roll with clip. Fold or push remaining material back into the foil pouch. Push clip down tightly over the end of the pouch, making sure foil is smoothly flattened and clipped. Remove splint from foil pouch and stretch padding slightly beyond the synthetic fibre to protect exposed edges. Other Option : Open the padding to cut about cm at both ends of the synthetic fibre. Close the padding. Apply a little quantity of cool, clean water (0ºC) from a water bottle on one side of the padding or directly on the synthetic fibre. Roll or fold splint and squeeze out excess water. CAUTION: Hot water will increase exotherm during resin curing. Do not saturate the splint. Dynacast Prelude requires only minimal water for activation. 5 Lay splint on a towel and roll snugly and squeeze to remove additional water. Repeat to remove remaining water. 6 Place splint on patient and wrap with a bandage. Mold splint to patient s limb for - minutes until splint sets. Monitor patient according to standard procedures. Precautions. The uncured polymer may bond to unprotected skin and clothing if contacted directly. Take care to prevent the polymer from touching the patient s skin. If it should come into contact with the skin, blot with alcohol or acetone and wash with soap and water before it cures. Cured polymer should flake off the skin after several days.. Hot water will increase the temperature of the splint as it cures. Advise the patient that the splint may feel warm as it is being applied and that they should report any burning sensation. 5. The finished splint is water-resistant and can be cleaned by hand-washing with mild detergent. To dry, blot with a towel and then use a hairdryer. Advise the patient not to wear the splint when it is wet, as the moisture may cause skin irritation.. Care should be taken in handling the foil pouch, as punctures will result in premature hardening of the splint material. Store in a cool dry location out of direct sunlight. 5. Be careful not to overstretch while applying a bandage to hold the splint on the patient. A bandage that is too tight can cause serious blood circulation problems.

5 Tips for Better Splinting. Always use cool, clean water (0ºC).. Do not oversaturate splint. Minimum water required to activate Dynacast Prelude.. Make sure splint is smooth when placing on patient.. Smooth the splint on without squeezing. To mold the splint, use your palms, not your fingertips. 5. Simply roll the bandage on the extremity without tension. Overwrapping a splint could lead to circulation and breathability complications. 6. Protect or pad edges of a splint. 7. Leave fingertips exposed to check for circulation. 8. Patient should stay still until the heat subsides from the splint to allow for proper setup. 9. Pre and post splint checks are imperative. Use this formula: F-A-C-T-S - check for: Function Arterial pulse Capillary Refill Temperature-skin Sensation 0. Patient discharge instructions: Review F-A-C-T-S (#9) for patient to monitor. Patient should not remove splint unless advised by a physician. Protect splint from getting wet. Review R-I-C-E Instructions: Rest Ice Compression Elevation 6

6 Quick Reference Chart Possible Indications Possible Splinting Recommended Width Page Techniques nd or rd Metacarpal Fracture Teardrop Splint 0 cm or.5 cm for most patients 7 5 cm for whole hand nd, rd or th Metacarpal Fracture Finger Protector.5 cm - Single finger injuries 8 5 cm - Two finger injuries 7.5 cm - Three finger injuries 0 cm - Four finger injuries th or 5th Metacarpal Fracture Boxer Splint 0 cm or.5 cm for most patients 8 Bicep Tendon Repair Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Operative) 0 cm Large Adult Carpal Tunnel Syndrome Thumb & Wrist Immobilizer 0 cm or.5 cm for most patients Volar Splint 7.5 cm or 0 cm for most patients Colles Fracture Reverse Sugar Tong 7.5 cm or 0 cm for most patients 9 Crushing Injury Finger Protector.5 cm - Single finger injuries 8 5 cm - Two finger injuries 7.5 cm - Three finger injuries 0 cm - Four finger injuries Teardrop Splint 0 cm or.5 cm for most patients 7 5 cm for whole hand Elbow Fracture Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Traumatic) 0 cm Large Adult Elbow Sprain / Strain Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Traumatic) 0 cm Large Adult Elbow Splint 0 cm or.5 cm for most patients 0 Finger (Laceration / Sprain / Strain) Finger Splint 5 cm, 7.5 cm or 0 cm for most patients 0 Finger Strip.5 cm, or 5 cm if including or more 9 fingers in splint Finger Fracture Finger Splint 5 cm, 7.5 cm or 0 cm for most patients 0 Finger Strip.5 cm, or 5 cm if including or more 9 fingers in splint Forearm Fracture Reverse Sugar Tong 7.5 cm or 0 cm for most patients 9 Volar Dorsal 7.5 cm or 0 cm for most patients 5 Laceration Dorsal Splint 7.5 cm or 0 cm for most patients 6 Finger Protector.5 cm - Single finger injuries 8 5 cm - Two finger injuries 7.5 cm - Three finger injuries 0 cm - Four finger injuries 7 Possible Indications Possible Splinting Recommended Width Page Techniques Laceration (cont d) Teardrop Splint 0 cm or.5 cm for most patients 7 5 cm for whole hand Volar Splint 7.5 cm or 0 cm for most patients Midshaft Humeral Fracture Coaptation Splint 5 cm - Pediatric / 7.5 cm Adolescent / 7.5 cm Adult Midshaft Humerus Fracture Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Non-Displaced) (Post-Traumatic) 0 cm Large Adult Navicular Fracture Thumb Spica 7.5 cm for most patients Night Splint Volar Splint 7.5 cm or 0 cm for most patients Occult Olecranon Fracture Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Traumatic) 0 cm Large Adult Proximal Hand / Thumb Injury Thumb & Wrist Immobilizer 0 cm or.5 cm for most patients Radial Head Fracture Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Traumatic) 0 cm Large Adult Scaphoid Fracture Thumb Spica 7.5 cm for most patients Thumb & Wrist Immobilizer 0 cm or.5 cm for most patients Severe Wrist Sprain Volar Dorsal 7.5 cm or 0 cm for most patients 5 Supracondylar Fracture Elbow Splint 0 cm or.5 cm for most patients 0 Tendinitis Thumb Spica 7.5 cm for most patients Tendon Repair Finger Protector.5 cm - Single finger injuries 8 (Extensor / Flexor) 5 cm - Two finger injuries 7.5 cm - Three finger injuries 0 cm - Four finger injuries Teardrop Splint 0 cm or.5 cm for most patients 7 5 cm for whole hand Tendon Repair Finger Splint 5 cm, 7.5 cm or 0 cm for most patients 0 Dorsal Splint 7.5 cm or 0 cm for most patients 6 Thumb Figure-8 Thumb.5 cm (Game Keeper s / Skier s) Thumb Dislocation Thumb Spica 7.5 cm for most patients Ulnar Collateral Ligament Sprain Figure-8 Thumb.5 cm Thumb Spica 7.5 cm for most patients Ulnar Nerve Transposition Dorso-Lateral Elbow Splint 5 cm Child / 7.5 cm Adult / (Post-Operative) 0 cm Large Adult Wrist Fracture Dorsal Splint 7.5 cm or 0 cm for most patients 6 Wrist Sprain Volar Splint 7.5 cm or 0 cm for most patients UPPER EXTREMITIES

7 Finger Protector nd, rd or th Metacarpal Fracture Crushing Injury Flexor/Extensor Tendon Repair Laceration Measure from dorsal side of hand, going over the involved finger down the volar side. Length of splint is dependent upon extent of injury and physician's preference. Apply splint, enclosing finger if desired (if fingertip is injured). Make sure wrist flexion is possible if wrist is not involved. (For optional window) At half point of splint, cut towards taped side, leaving edge of padding intact. Slide splint on finger, leaving fingernail exposed to check for circulation. Wrap with a bandage. Mold and position as prescribed by physician. (Hint: Normally, flex metacarpals to 5º and wrist to 0º extension then tape down.) Depending on the injury, the physician may want the finger in extension or 5º flexion..5 cm Single Finger Injuries 5 cm Two Finger Injuries 7.5 cm Three Finger Injuries 0 cm Four Finger Injuries Tip: Using a cohesive bandage (Co-Plus or Easifix Cohesive) reduces the risks of slippage. The bandage conforms better to all body shapes and once applied, is less bulky. 8 Finger Protector

8 Finger Strip Finger Fracture Finger Laceration Sprain Strain Measure from just past the tip of the involved finger to the base of the metacarpal. If support of the metacarpal is desired, measure to base of the thumb. Cut desired length. Cut and prepare splint as directed. Apply to injured finger. Wrap with a bandage. Mold and position as prescribed by physician..5 cm, or 5 cm if including or more fingers in splint Tip: Using a cohesive bandage (Co-Plus or Easifix Cohesive) reduces the risks of slippage. The bandage conforms better to all body shapes and once applied, is less bulky. 9 Finger Strip

9 Finger Splint Finger Fracture Finger Laceration Tendon Repair Place in flexion. Measure from the tip of the injured finger to.5 cm 5 cm from wrist joint. Hold the splint up to patient's hand and measure the length of the injured finger. Mark the spot with a pinch at the web space (x). Open padding and cut out a.5 cm wide strip up the center of the fibre substrate up to the pinch. Close padding and cut up center, leaving a margin of padding on either side. Prepare the splint as directed. Slide the "trouser legs" next to the injured finger, with one "leg" on each side of the hand. Fold the entire splint in one direction, capturing the injured finger. Fingers may be buddied together for additional support. Wrap with a bandage to secure the splint. Mold and position as prescribed by physician. 5 cm, 7.5 cm or 0 cm for most patients Tip: Using a cohesive bandage (Co-Plus or Easifix Cohesive) reduces the risks of slippage. The bandage conforms better to all body shapes and once applied, is less bulky. 0 Finger Splint

10 Figure-8 Thumb Skier's / Game Keeper's Thumb Ulnar Collateral Ligament Sprain Place in thumb / finger opposition. To measure length, use a measuring tape. Wrap tape around the thumb and overlap the end around base of the bony prominence of the wrist (also known as the styloid process of the ulna) in a figure 8 fashion. Cut this length of material (should be approximately 5.5 cm 0.5 cm). Center splint on the web space, crossing over the dorsal of thumb in a figure 8 fashion and overlapping the cut edges around the styloid process of the ulna. Wrap with a small bandage, overlapping in a figure 8 formation. Mold and position as prescribed by physician..5 cm Tip: Using a cohesive bandage (Co-Plus or Easifix Cohesive) reduces the risks of slippage. The bandage conforms better to all body shapes and once applied, is less bulky. Figure-8 Thumb

11 Thumb Spica Navicular Fracture Scaphoid Fracture Tendinitis Thumb Dislocation Ulnar Collateral Ligament Sprain Measure from the tip of the thumb to 5 cm from the antecubital. Prepare the splint as directed. Apply the splint by placing one end at the tip of the thumb and spiraling the rest over the dorsal aspect of the hand and arm. Wrap with a bandage by starting at the wrist and making two figure-8 wraps around the thumb. Mold and position as prescribed by physician. Place the thumb in a functional position with the wrist in approximately 0º extension and allow thumb and index finger opposition. 7.5 cm for most patients Thumb Spica

12 Thumb & Wrist Immobilizer Carpal Tunnel Syndrome Proximal Hand, Thumb Injury Scaphoid Fracture Position the wrist at 0º extension and place the thumb and finger in opposition. Measure from the PIP joint to 5 cm below the antecubital. Place on patient's hand at the PIP joint and down the arm. Pinch or mark at the web space of thumb. Cut down from the center end of splint at an oblique angle towards your pinch. Then cut away that corner leaving the thumb portion. Stretch padding or tape over cut edges. Place splint on the patient. Wrap the thumb portion of the splint starting at the web space and wrap around the thumb. Anchor splint at wrist with bandage and continue around thumb and down the arm. Position as prescribed by physician. 0 cm or.5 cm for most patients Thumb & Wrist Immobilizer

13 Volar Splint Carpal Tunnel Syndrome Laceration Night Splint Wrist Sprain Measure from.5 cm above the palmar crease to 5 cm from the antecubital. Prepare splint as directed. Fold one edge of the splint over.5 cm. Place fold at the angle of the palmar crease (follow the life line). Wrap with a bandage to secure the splint. Mold and position as prescribed by physician. Position the wrist at neutral to 0º extension. Allow free motion of all fingers and thumb. 7.5 cm or 0 cm for most patients Volar Splint

14 Volar Dorsal Forearm Fracture Severe Wrist Sprain Position the wrist at 0º extension. Allow free motion of all fingers and thumb. Measure from.5 cm above the palmar crease to 5 cm from the antecubital. Double this measurement and cut desired length. Stretch padding over exposed edges. At the center point of splint, open the padding at the taped edge and cut the fibre in half. Close back up and pull both ends of splint to stretch padding at center point about.75 cm. Wet splint and make final cut at center, leaving one edge intact. Place splint on the volar and dorsal side of palm and arm using the hinged edge anchored at the web space of thumb. Secure with a bandage, anchoring at the wrist and proceeding around the palm, working distal to proximal down the splint. Mold and position as prescribed by physician. 7.5 cm or 0 cm for most patients 5 Volar Dorsal

15 Dorsal Splint Laceration Tendon Repair Wrist Fracture Measure from base of metacarpals on back of hand to 5 cm 7.5 cm from antecubital. Prepare splint as directed. Splint may be trimmed to allow for complete range of motion of the thumb. Open padding, trim fibre at taped edge in a curve. Be sure padding covers all exposed edges. Place on dorsal side of hand. Allow for flexion of fingers. Secure with a bandage, anchoring at the wrist and proceeding around the palm, working distal to proximal down the splint. Mold and position as prescribed by physician. Position at neutral or resting position. Slight 0º extension may be used. Allow for range of motion of digits not being immobilized. 7.5 cm or 0 cm for most patients 6 Dorsal Splint

16 Teardrop Splint nd & rd Metacarpal Fracture Crushing Injury Flexor/Extensor Tendon Repair Laceration Measure from tip of rd finger to 5 cm below the antecubital. Fold splint in half lengthwise and locate the middle. Cut a 6.5 cm hole for thumb. Tape the edges. Place thumb through the hole and fold over injured fingers. Wrap with a bandage. Mold and position as prescribed by physician. (Hint: Normally, flex metacarpals to 5º and wrist to 0º extension then tape down.) Flex metacarpals in 5-70º angle and wrist in 0º extension. You may want to use tape to maintain position while splint is setting up. 0 cm or.5 cm for most patients 5 cm for whole hand 7 Teardrop Splint

17 Boxer Splint th Metacarpal Fracture 5th Metacarpal Fracture Position the wrist at 0º extension, and the MCP joint at 5-70º flexion, depending on the injury. Measure from the tip of the 5th finger to 5 cm from the antecubital. Prepare splint as directed. Place padding between the th and 5th fingers. Apply the splint to the ulnar side of the hand, creating a gutter. Wrap with a bandage to secure the splint. Mold and position as prescribed by physician. 0 cm or.5 cm for most patients 8 Boxer Splint

18 Reverse Sugar Tong Colles Fracture Foreman Fracture Position the wrist at neutral and the elbow flexed at 90º. Measure from behind the elbow coming up both sides of the arm to the tips of the fingers. Fold the splint in half. Cut across the splint at the fold leaving approximately.5 cm attached. Pad the edges with tape. Prepare splint as directed. Place the splint on the patient's arm by sliding the cut section over the fingers, with the attached section in the web space, between the thumb and forefinger. Wrap with a bandage to secure the splint. At the elbow, fold one side of the excess material behind the elbow and overlap with the other side. Lock in place with a series of figure-8 wraps. 7.5 cm or 0 cm for most patients 9 Reverse Sugar Tong

19 Elbow Splint Elbow Sprain Elbow Strain Supracondylar Fracture Position the wrist at neutral and the elbow at 90º. Measure from 5 cm 7.5 cm from the axilla to the base of the 5th metacarpal. Prepare the splint as directed. Roll twice in a towel. Apply the splint to the patient. Before wrapping the elbow, overlap the corners of the splint to make a dart. Take care not to push in and cause a pressure point. Wrap with a bandage to secure the splint. Wrap once in the web space to prevent splint from sliding down. Mold and position as prescribed by physician. Tip: To hold the patient in position at 90 O, use the taping technique: attach one end at the base of the 5th metacarpal, continue in a figure-8 up and around the top of the splint at the axilla. Tape can be removed and replaced by a arm support like Actimove Sling for patient comfort. 0 cm or.5 cm for most patients 0 Elbow Splint

20 Dorso-Lateral Elbow Splint Post-Traumatic Elbow Strain/Sprain Elbow Fracture Non-Displaced Midshaft Humerus Fracture Occult Olecranon Fracture Radial Head Fracture (Physician may request that position be in supination) Post-Operative Bicep Tendon Repair Ulnar Nerve Transposition Measure from 5 cm to 7.5 cm distal to the axillary region to the metacarpal heads dorsally. Cut off amount of product needed and stretch padding over exposed edges. Place dry Dynacast Prelude slab on patient, positioned the same way (measured). Mark with a pen at the two edges where the splint overlaps. Fold the material at the elbow to achieve a 90º angle. Cut and remove the top layer of padding between pen marks, creating a square of exposed fibre where the material was folded. Wet along the length of the entire splint. Remove water in usual manner by squeezing in a towel twice, refold, creating a triangle of fibre on the elbow. Position the wrist at neutral and the elbow at 90º unless otherwise instructed. 5 cm Child 7.5 cm Adult 0 cm Large Adult 5 Reposition on extremity. Secure the splint entirely with a bandage, working distal to proximal. 6 Use a figure of 8 taping method to hold the arm in position during the set time. Tape can be removed and replaced by an arm support like Actimove Sling for patient comfort. Dorso-Lateral Elbow Splint

21 Coaptation Splint Possible Indication: Midshaft Humeral Fracture Position the wrist at neutral and the elbow at 90º unless otherwise instructed. Measure from 5 cm 7.5 cm under the axilla (armpit), up around the elbow and over the humerus so that the end of the splint covers the top of the shoulder but doesn t dig into the neck. Cut appropriate length. Prepare splint as directed. Apply splint to arm. Begin wrapping a bandage at bicep, capture the elbow and continue wrapping distal to proximal up the humerus. - Optional If desired, padding may be opened and substrate trimmed for patient comfort. Mold and position as prescribed by physician, maintaining a 90º angle of the elbow. To ensure a good fit over the shoulder, maintain arm close to body. 5 cm Pediatric 7.5 cm Adolescent / Adult Tip: Using a cohesive bandage (Co-Plus or Easifix Cohesive) reduces the risks of slippage. The bandage conforms better to all body shapes and once applied, is less bulky. Coaptation Splint

22 Quick Reference Chart Possible Indications Possible Splinting Recommended Width Page Techniques Achilles Tendon Tear Posterior Ankle 0 cm or.5 cm for most patients 8 (Darted) Ankle Fracture Reinforced Posterior Leg Splint 7.5 cm - Pediatric 5-6 (Non-Displaced) (Butterfly or Folded) 0 cm or.5 cm Adolescent / Small Adult 5 cm - Large Adult Ankle Sprain / Strain Ankle Stirrup 5 cm Child / 7.5 cm Adult / 7 0 cm Large Adult Posterior Ankle 0 cm or.5 cm for most patients 8 (Darted) Ankle Sprain / Strain Reinforced Posterior Leg Splint 7.5 cm - Pediatric 5-6 (Severe) (Butterfly or Folded) 0 cm or.5 cm Adolescent / Small Adult 5 cm - Large Adult Distal Fibula / Tibia Fracture Posterior Ankle 0 cm or.5 cm for most patients 8 (Darted) Reinforced Posterior Leg Splint 7.5 cm Pediatric 5-6 (Butterfly or Folded) 0 cm or.5 cm Adolescent / Small Adult 5 cm - Large Adult Hair Line Fracture Ankle Stirrup 5 cm Child / 7.5 cm Adult / 7 0 cm Large Adult Reinforced Posterior Leg Splint 7.5 cm - Pediatric 5-6 (Butterfly or Folded) 0 cm or.5 cm Adolescent / Small Adult 5 cm Large Adult Knee Injury or Sprain Knee Immobilizer 7.5 cm Pediatric / 0 cm Child, Small Adult.5 cm Adult / 5 cm Large Adult Knee Surgery (Post-Op) Knee Immobilizer 7.5 cm Pediatric / 0 cm Child, Small Adult.5 cm Adult / 5 cm Large Adult Metatarsal Fracture Posterior Ankle 0 cm or.5 cm for most parients 8 (Darted) Reinforced Posterior Leg Splint 7.5 cm - Pediatric 5-6 (Butterfly or Folded) 0 cm or.5 cm Adolescent / Small Adult 5 cm Large Adult Shin Splint Ankle Stirrup 5 cm Child / 7.5 cm Adult / 7 0 cm Large Adult LOWER EXTREMITIES

23 Knee Immobilizer Knee Injury Knee Sprain Post-op Knee Surgery Measure 0.5 cm 5.5 cm above and below the patella, then double it (approximately 8 cm). Size down for smaller patients. Fold the splint in half. Cut across the splint at the fold leaving approximately.5 cm attached. Stretch padding as directed over exposed edges. Place padded hinge on the anterior side of the calf and place the splint on the medial and lateral sides of the leg. Wrap a bandage from distal to proximal. Mold and position as prescribed by physician. The physician will want to splint the knee fully extended if possible, but for proper gait / crutch walking, 5º flexion at the knee may be necessary. 7.5 cm Pediatric 0 cm Child, Small Adult.5 cm Adult 5 cm Large Adult Knee Immobilizer

24 Reinforced Posterior Leg Splint (Folded) Distal Tibia / Fibula Fracture Hair Line Fracture Metatarsal Fracture Non Displaced Ankle Fracture Severe Ankle Sprain / Strain Measure from 5 cm below the popliteal to the end of toes or to 5 cm beyond the toes for optional toe plate. Cut material needed and remove from foil sleeve. Measure from toe to heel base and mark where heel would rest on splint. Open padding at taped edge the entire length, exposing the fibre. Fold the fibre substrate in at heel base tocenter seam to form a 5 cm crescent (approximately 7.5 cm above and below heel center mark). 5 Apply water directly on fibre especially at crescent fold. This will allow for maximum lamination of fibre layers. Advantages of the Reinforced Splint:. Two layers of fibre around heel area for added strength.. When wrapping, you no longer have to worry about bulk fibre substrate to fold around the heel. It has been eliminated by the crescent fold over. 6 Smooth down crescent folds with gloved hands to laminate all the fibre layers. 7 Close padding and smooth splint one last time before applying. Note: Apply with crescent folds away from skin for patient comfort. 8 Fold the splint under.5 cm at the toes to make a toe plate (optional). Place the splint under the foot, extending from the toes and smooth splint on before securing splint with a bandage. 9 Mold and position as prescribed by physician. Tip: To hold the foot in position during the set time, wrap splint with figure-8 taping technique cm Pediatric 0 cm or.5 cm Adolescent / Small Adult 5 cm Large Adult Reinforced Posterior Leg Splint (Folded)

25 Reinforced Posterior Leg Splint (Butterfly) Distal Tibia / Fibula Fracture Hair Line Fracture Metatarsal Fracture Non Displaced Ankle Fracture Severe Ankle Sprain / Strain Measure from 5 cm below the popliteal to the end of toes or to 5 cm beyond the toes for optional toe plate. Cut material needed and remove from foil sleeve. At base of heel (pt A), snip padding to mark 90º angle. Open padding and cut substrate from 7.5 cm - 0 cm either side of pt A marked. Wet substrate and fold the butterfly in towards center seam (x) at a curve. This creates a reinforced yet open area. Advantages of the Reinforced Splint:. Two layers of fibre around heel area for added strength.. When wrapping, you no longer have to worry about bulk fibre substrate to fold around the heel. It has been eliminated by the crescent fold over. 5 Close padding and apply to patient. Be sure to place reinforced side away from patient to avoid pressure points. 6 Wrap with a bandage distal to proximal. Mold and position as prescribed by physician. Ensure that toes are not constricted. Tip: To hold the foot in position during the set time, wrap splint with figure-8 taping technique. Reinforced Posterior Leg Splint (Butterfly) cm Pediatric 0 cm or.5 cm Adolescent / Small Adult 5 cm Large Adult

26 Ankle Stirrup Ankle Sprain / Strain Hair Line Fracture Shin Splint The foot should be flexed at a 90º angle, unless otherwise directed. Measure from medial to lateral and under the heel of the foot. This measurement should begin and end approximately 5 cm below the patellar. Reduce the length for less severe sprains. -Optional Fold in half. Open up padding at center crease and cut the fibre only. Close and stretch padding, creating a 5 cm gap for the heel to be placed. Wet the product and apply stirrup centering on medial and lateral side of leg. Anchor stirrup with a bandage just above the ankle. Wrap around the heel and across the talus bone in a figure 8 fashion several times and then proceed with bandage up the leg, working distal to proximal and overlapping elastic bandage halfway as you wrap the leg. 5 cm Child 7.5 cm Adult 0 cm Large Adult 7 Ankle Stirrup

27 Posterior Ankle (Darted) Achilles Tendon Tear Ankle Sprain Distal Tib / Fib Fracture Metatarsal Fracture Measure from 5 cm below the popliteal to 5 cm beyond the toes. Prepare the splint as directed. Roll twice in a towel. Fold the splint under.5 cm at the toes to make a reinforcing toe plate. Place the splint under the foot, extending slightly beyond the toes and wrap as follows: start at the toes, work up the foot, skip the ankle and wrap behind the achilles. Below the malleolus, overlap corners of the splint. Take care not to push in and cause a pressure point. Wrap the heel and continue wrapping the rest of the leg. Mold and position as prescribed by physician. Tip: To hold the foot in position during set time, wrap splint with figure-8 taping technique. Position with the ankle at 90º (neutral), unless otherwise instructed. 0 cm or.5 cm for most patients 8 Posterior Ankle (Darted)

28 Notes

29 Notes