|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 7.5 cm Delta Cast Conformable polyester support bandage
and hydrogel-coated casting gloves, toweling tubular bandage, self-adhesive
fleece padding, adhesive bandage or velcro tape, bandage scissors, felt-tip
The toweling tubular bandage is applied to form a layer of padding underneath.
A strip of fleece padding is inserted on the outer side to help with the
cutting. A U-shaped section of fleece is applied to the ankle bones for
A 2-layer longuette is produced from the cast bandage and applied as a stirrup
as shown. It may be of help if the patient holds the longuette firmly and
pulls it upwards.
The cast longuette is held in place using the remaining cast bandage (1 to
2 layers). The cast should be applied relatively tightly (extending it by
about 50 to 70%). This helps to achieve the best fit and bonding of the layers.
The cast is then molded to the foot and ankle joint for four to six minutes.
Following the molding phase the cutting lines are marked and the cast opened
on the outer side using bandage scissors. If the cast has been applied too
tightly it will loosen by itself after opening (special feature of Delta
Cast Conformable). The cast is removed and trimmed for individual fit. This
involves cutting a large section out of the heel part making it easier to
wear normal shoes. A narrow bridging section is left at the back to help
with re-application and improve the comfort for the patient. It can be cut
away at any time if necessary. In order to maintain unrestricted rotation
movement for the foot, part of the cast is cut away on the outer side.
The fit of the cast on the patient is then checked. A sole cast extending
further along the area above the foot restricts rotation more so than a short
and narrow bridging section. It can be shortened using bandage scissors at
The rear view of the Ankle Brace shows how it is trimmed for individual fit.
The Ankle Brace is fixed in place with an adhesive bandage or velcro tape
taking into account the state of swelling. The patient can wear a cotton
sock under the cast to improve the comfort. Normal shoes can be worn.
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 and re-applied using an adhesive bandage or velcro tape.