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Fibreglass long leg cast immobilizing the leg for a tibial fracture. An orthopedic cast, or simply cast, is a shell, frequently made from plaster or fiberglass, that encases a limb (or, in some cases, large portions of the body) to stabilize and hold anatomical structures—most often a broken bone (or bones), in place until healing is confirmed.
Then, the collar should be locked to the ideal neck length according to the specific manufacturer's manual. The chin must be in the chin piece and the collar must extend down to the sternal notch. If the patient has a tracheostomy hole, medical professionals must assure that the hole is midline and accessible in a patient with a cervical collar.
Illustration of two types of hip spica casts. A hip spica cast is a sort of orthopedic cast used to immobilize the hip or thigh. It is used to facilitate healing of injured hip joints or of fractured femora. A hip spica includes the trunk of the body and one or both legs. A hip spica which covers only one leg to the ankle or foot may be ...
For open tibial fractures in children, there is an increasing trend of using orthopedic cast rather than external fixation. Bone grafting is also helpful in fracture repair. However, internal fixation using plates and screws is not recommended as it increase the rate of infection. [5]
Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
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Elektrische Gipssäge, by Ortopedia, Kiel, Germany. A cast saw is an oscillating saw used to remove orthopedic casts.Instead of a rotating blade, cast saws use a sharp, small-toothed blade rapidly oscillating or vibrating back and forth over a minimal angle to cut material and are therefore not circular saws. [1]
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