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Types of Splint

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Plaster Backslab

  • comprises of padding in the form of soft-roll wrapped around the limb, thickest over bony prominences
  • 4” or 6” slabs of plaster (8-10 UE, 12-14 LE) thick are then applied and held by flannel wrapped snugly

Reasons for Splinting

  • Reduces pain
  • Reduces further damage to vessels & nerves
  • Reduces risk of inadvertently converting a closed # into an open #
  • Facilitates pt. transport

Common Slabs

 

Name

Indications

UE

Radial Gutter/Thumb Spica

Scaphoid #, distal radial #. ligamentous injury to thumb,DeQuervain’s disease

UE

Ulnar Gutter

Boxer’s #, 4th/5th metacarpal shaft #

UE

Sugar Tong (distal proximal, double)

Forearm – Proximal/mid/distal radial and ulnar #'s
Humeral – Humeral shaft #’s

UE

Posterior elbow

Distal humerus #, both bone forearm #. olecranon #

LE

Posterior ankle (short)

Distal tibia/fibula #, tarsal, metatarsal #, reduced ankle dislocations

LE

Above knee (long)

Both bone tibial/fibular #'s

Jones Bandage

  • loose layer of soft-roll followed by thick cotton wadding or ABD-pads followed by snug wrap of 2 layers of flannel, 1 or 2 plaster slabs can also be included
  • indicated for short term immobilization of soft tissue and ligamentous injuries to the knee or calf

Buck's Skin Traction

  • used in lower limb for femoral, acetabular and hip fractures as a temporary measure to reduce pain and maintain length

Velpeau Bandage

  • immobilizes better than simple sling.
  • Application requires practice so find a friend and head for the fracture room!!

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