|Application Technique Radius / Forearm
|Application: The materials should be pre-prepared
to enable rapid application of the bandage. All the necessary materials should
be placed within reach to avoid hold-ups in the procedure.
The patient should be in a position which is comfortable to him/her and the person applying the bandage. This may vary depending on the extent of the injury, the diagnosis, the treatment method and the patient's condition.
Materials required: 1 x 5 cm or 7.5 cm Delta Cast Conformable polyester support bandage and hydrogel-coated casting gloves, tubular bandage, Delta rol S padded bandage or toweling tubular bandage, self-adhesive fleece padding, adhesive bandage, bandage scissors, felt-tip pen.
The small number of layers means that the cast remains semi-flexible and can be adjusted depending on the individual state of the swelling (looser or tighter). To do this, the adhesive bandage is removed and the cast altered for a perfect fit. Re-application is carried out as described above. This procedure can be repeated throughout the duration of treatment.
Lower arm cast for the reduction of displaced radius fractures:
The above mentioned lower arm is rather flexible, due to its number of layers, which could have a negative effect on the reduction result. By prior underlying the cast with a 4 - 6 layer thick dorso-volar cast-strip on the radial side the layer strength of the cast at the point of reduction gets up to 7 - 9 layers. In this way a localized rigid cast is created. After application and reduction the cast gets split on the ulnar-side
To avoid the resulting automatic loosening of the cast it gets split in sections and immediately retaped. Thus a patientfriendly, flexible cast with localized around the fracture and reduction area is created.
Wrist cuff: Here the lower arm cast gets shortened at the proximal end about a hands width above the wrist. The use of Hook & Loop strips eases the removal and refitting of the cast and the cast becomes just like the wrist-protectors for inline-skaters.
Lower arm brace: Through cutting (or directly at the application) a cast gets created, which does not impede the function of the wrist or elbow (see also: Tibia brace). The use of Hook & Loop strips eases the removal and refitting of the cast.
Wrist brace: Here an about handwide brace on the distal lower arm is created. The function of the wrist is not restricted. The use of Hook & Loop strips eases the removal and refitting of the cast.
Lower arm splint: Different variations with or without finger / hand inclusion. (See Inner forearm splint with finger support).
|© Copyright by A.A.Wierzimok & TheWebEditor|