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CAST AND BRACES

CAST
Is a temporary immobilization device which is made up of gypsum sulfate anhydrous by calcification when mixed with water swells and forms into a hard cement.

FUNCTION
To immobilize To prevent or correct deformity To support, maintain and protect realigned bone To promote healing and early weight bearing

TYPES OF CAST

PRINCIPLES IN APPLYING CAST


1. Provide for maximal comfort and alleviation of complications.
a.Application of padding is the first step in the procedure.

2. Maintain desired position throughout cast application.

3. Use caution in handling of the cast until it has set or become hardened.
a. It can be applied as a combination, like stockinette and wadding sheet. b. Apply it to include the joint above and joint below the injured part. c. Apply it in circular motion and mould it as you do the procedure by the palmar hypothenar. d. Support with the palm.

CONTRAINDICATION OF CAST
1. Pregnancy
2. Skin Disease 3. Swelling/Edema 4. Infection

UPPER EXTREMITIES

SHORT ARM CIRCULAR CAST


Affection of WRIST and FINGERS

SHORT ARM POSTERIOR MOLD


Affection of the WRIST & FINGERS with open wound.

LONG ARM CIRCULAR CAST


Affection of RADIUS - ULNA

LONG ARM POSTERIOR MOLD


Affection of the RADIUS ULNA with infection and open wound.

HANGING CAST
Fracture of the shaft of the HUMERUS.

FUENSTER/MUENSTER CAST
Fracture of the RADIUS ULNA with callus formation.

FUNCTIONAL CAST
Affection of the SHAFT of the HUMERUS with callus formation.

SHOULDER SPICA CAST


Affection of the upper portion of the HUMERUS and SHOULDER JOINT.

AIRPLAINE CAST
Affection of the upper portion of the HUMERUS and SHOULDER JOINTS with compound fracture.

LOWER EXTREMITIES

SHORT LEG CIRCULAR CAST


Affection of the ANKLE and TOES.

SHORT LEG POSTERIOR MOLD


Affection of the ANKLE and TOES with infection and open wounds.

LONG LEG CIRCULAR CAST


Fracture of the TIBIA FIBULA.

LONG LEG POSTERIOR MOLD


Fracture of the TIBIA FIBULA with infection and open wounds.

DELVIT CAST
Affection of the TIBIA FIBULA.

INTERNAL ROTATOR SPLINT


Post HIP operation.

NIGHT SPLINT
Post - Polio

BASKET CAST
Massive bone injury of the PATELLA with open wound.

CAST BRACE
Fracture of the femur with flexion and extension.

SINGLE HIP SPICA CAST


Affection of the HIP and FEMUR.

1 HIP SPICA POSTERIOR MOLD


Affection of the HIP and FEMUR with open wound.

DOUBLE HIP SPICA MOLD


Bilateral affection of the HIP and FEMUR with open wound.

PANTALON CAST
Affection of the PELVIS.

FROG CAST
Congenital Hip Dislocation.

CYLINDER CAST
Fracture of PATELLA.

PATELLAR TENDON BEARING CAST


Fx of the SHAFT of the TIBIA FIBULA with callus formation.

WALKING CAST
Affection of ankle and metatarsal with callus formation.

QUADRILATERAL/ISCHIAL BEARING CAST


Affection of the SHAFT of the FEMUR with callus formation.

MINERVA CAST
Affection of the CERVICAL SPINE.

RIZZERS JACKET
Scoliosis

BODY CAST
Affection of the lower DORSOLUMBAR SPINE.

INSTRUMENT FOR CAST REMOVAL


Cast Cutter Cast Spreader Trimming Knife Bandage Scissors Plaster Shears

BRACES

KNIGHT TAYLOR BRACE


Upper thoracic spine.

FORESTER BRACE
Cervico thoraco lumbar spine.

JEWETTE BRACE
Lower thoracic spine.

CHAIR BACK BRACE


Lumbosacral spine.

MILWAUKEE BRACE
Scoliosis

BILATERAL LONG LEG BRACE

DENNIS BROWN SPLINT


Congenital Clubfoot.

BANJO SPLINT
Peripheral nerve injury.

SHANTZ COLLAR BRACE


Cervical spine.