Splinting

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Background

Fracture management overview

Splint Types

Splint Material

  • 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

See Also

References

  1. Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 4, 2017