Application Technique Tibia Brace

Indications:

  • Diaphys. tibia fractures.
  • Diaphys. fibula fractures.
  • Diaphys. fractures of the lower leg.
  • Positioning splint.
  • Physio purposes.
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: 1x 10 cm Delta Cast Conformable polyester support bandage and hydrogel-coated casting gloves, toweling tubular bandage, self-adhesive fleece padding, velcro tape (Orthoplast T&C), gauze bandage, 2 cm wide strip of X-ray film, bandage scissors, felt-tip pen.

Photo 1:
The toweling tubular bandage is pulled over the lower leg to form a layer of padding underneath. A strip of unusable X-ray film about 2 cm wide is inserted in the calf area beforehand to help with the cutting. The fleece padding is secured along the front edge of the tibia.

Photo 2:
The cast is applied around the calf using circular movements relatively tightly extending it by 50% to 70%. 3 to 4 layers are applied in the fracture area and 2 layers in the distal and proximal areas. The compressing effect of the cast bandage produces the best fit and bonding of the layers.

Photo 3:
The velcro tape is applied to the still damp cast and held in place with a wet gauze bandage. During the hardening phase the still wet cast adheres to the velcro tape thus avoiding the need to attach the velcro tape with adhesive or rivets later. The gauze bandage is then removed.

Photo 4:
The cast is molded for four to six minutes. The distal and proximal ends of the dressing are marked with a felt-tip pen and the cast is opened along the inserted strip of X-ray film using bandage scissors. The cast is trimmed for individual fit.

Photo 5:
After checking for a perfect fit, the finished Tibia Brace is applied to the patient. The positioning of a brace cast has to be checked daily for accuracy and the use of velcro tape makes it easier to adjust and fix the cast in place. 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).

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