Ortho
Ortho
An orthopedic cast is designed in the form of a shell. This is mostly prepared from plaster of Paris. The cast is mostly used in encasing a broken limb or a large portion of the body. It helps in holding a broken bone in place to trigger the healing process. Its function is much similar to that of a splint. Various Casts
Minerva Cast
The Minerva cast is applied around the trunk and the neck of the body. It is used on the neck area or the upper portion of the back area after a surgery.
4. Open wound 5. Infection Nursing Interventions 1. Handle wet cast with palms of hands, not fingers. 2. Cast should be allowed to air dry. 3. Elevate the cast on one or two pillows during drying. 4. Observe hot spot and musty odor, which is signs and symptoms of infection. 5. Maintain skin integrity petalling 6. Do neurovascular checks such as skin color, skin temperature, sensation, mobility and pulse. 7. Assess for vascular occlusion. 8. Adhesive tape petals reduce irritation at cast edges. 9. Prevent complication of mobility. Types Of Cast, Molds And Indications 1. Airplane cast for humerus and shoulder joint with compound fracture. 2. Basket cast for severe leg trauma with open wound or inflammation. 3. Body cast for lower dorso-lumbar spine affectation. 4. Boot leg cast for hip and femoral fracture. 5. Cast brace for fracture of femur (distal curve) with flexion and extension. 6. Collar cast for cervical affectation. 7. Cylindrical leg cast for fractured patella. 8. Delbit cast for fracture of tibia or fibula. 9. Double hip spica cast for fracture of hip and femur. 10. Double hip spica mold cervical affectation with callus formation. 11. Frog cast for congenital hip dislocation. 12. Functional cast for fractured humerus with abduction and adduction. 13. Hanging cast for fractured shaft of the humerus. 14. Internal rotator splint for post hip operation. 15. Long arm circular cast for fractured radius or ulna 16. Long arm posterior mold for fractured radius or ulna with compound affectation. 17. Long leg circular cast for fractured tibiafibula. 18. Long leg posterior mold for fracture tibiafibula with compound affectation. 19. Minerva cast for upper dorsal or cervical affectation. 20. Munster cast for fractured radius or ulna with callus formation.
21. Night splint for post polio. 22. Pantalon cast for pelvic bone fracture 23. Patella tendon bearing cast for fractured tibia-fibula with callus formation. 24. Quadrilateral (ischial weight bearing) cast for shaft of femur with callus formation. 25. Rizzers jacket for scoliosis 26. Short arm circular cast for wrist and fingers. 27. Short arm posterior mold for wrist and fingers with compound affectation. 28. Short leg circular cast for ankle and foot fracture. 29. Short leg posterior mold for ankle and foot with compound affectation. 30. Shoulder spica for humerus and shoulder joint. 31. Single hip spica for hip and 1 femur. 32. Single hip spica mold for pelvic fracture with callus formation. 33. 1 and hip spica for hip and femur. 34. 1 and spica mold for hip and femur with compound affectation.
VI. TRACTION
Definition: In orthopedic medicine, traction refers to the set of mechanisms for straightening broken bones or relieving pressure on the spine and skeletal system. There are two types of traction: skin traction and skeletal traction. Purpose: regain normal length and alignment of involved bone lessen or eliminate muscle spasms relieve pressure on nerves, especially spinal and prevent or reduce skeletal deformities or muscle contractures
Principles: