Difference between revisions of "Posterior ankle splint"

m (Rossdonaldson1 moved page Posterior Ankle Splint to Posterior ankle splint)
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==Background==
 
==Background==
*Use at least 12-15 layers of plaster.
 
*Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fx and sprains.
 
 
*Also know as "Short-Leg Posterior Splint"
 
*Also know as "Short-Leg Posterior Splint"
 +
*Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains.
  
 
==Indications==
 
==Indications==
*Distal tibia/fibula fx.
+
*Distal tibia/fibula fracture
 +
*Tarsal/metatarsal fracture
 
*Reduced dislocations
 
*Reduced dislocations
 
*Severe sprains
 
*Severe sprains
*Tarsal / metatarsal fx
+
*Achilles tendon rupture (equinus position)
  
[[File:Posterior Ankle Splint.gif]]
+
==Procedure==
 +
[[File:Posterior Ankle Splint.gif|thumb]]
 +
 
 +
*Assess distal pulse, motor, and sensation
 +
*Apply padding and splint material (e.g. Ortho-glass) as shown
 +
**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
 +
**Flex ankle to 90 degrees unless Achilles tendon rupture
 +
**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods
 +
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
 +
*Maintain position until splint material hardens and secure to leg (e.g. ace wraps)
 +
*Reassess distal pulse, motor, and sensation
  
 
==See Also==
 
==See Also==
 
*[[Splinting]]
 
*[[Splinting]]
*[[Ankle Fracture]]
 
  
[[Category:Ortho]]
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==References==
 +
<references/>
 +
 
 +
[[Category:Orthopedics]]
 
[[Category:Procedures]]
 
[[Category:Procedures]]

Latest revision as of 00:16, 6 April 2017

Background

  • Also know as "Short-Leg Posterior Splint"
  • Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains.

Indications

  • Distal tibia/fibula fracture
  • Tarsal/metatarsal fracture
  • Reduced dislocations
  • Severe sprains
  • Achilles tendon rupture (equinus position)

Procedure

Posterior Ankle Splint.gif
  • Assess distal pulse, motor, and sensation
  • Apply padding and splint material (e.g. Ortho-glass) as shown
    • If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
    • Flex ankle to 90 degrees unless Achilles tendon rupture
    • Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve [1]
  • Maintain position until splint material hardens and secure to leg (e.g. ace wraps)
  • Reassess distal pulse, motor, and sensation

See Also

References

  1. Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017