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AAOE Casting, Splinting and Soft Goods Program
Casting - Half Cast
Casting - Half Cast
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Video Transcription
So this is going to be a half cast and we start with our stockinette just like we do a short leg. Place the first piece of stockinette over the leg from the top of the knee to the tip of the toes. Place the foot on a foot stand at a 90 degree angle and then pull the stockinette over the foot. But for this one we're not going to cut out the front. Place hopla fleecy web or moleskin type padding over the stockinette on the back of the leg from two inches below the knee, down the leg and under the bottom of the foot. We're going to stick it straight to the stockinette. Thanks for watching! You just want to be sure you don't get any wrinkles in your moleskin. Place an extra strip of padding over the ankle and under the heel. And once you've lined it, you want to come back and put reinforcement strips where you're going to cut. Place two layers of reinforcement strips on each side of the foot, like a stirrup, one layer on each side of the leg, and one layer under the heel and over the ankles, and another layer behind the heel and under the foot. The two layers right there. I usually also put a little reinforcement right at the heel and over the ankle so it's kind of like the stirrup pad and the heel pad of the short leg casts. Then you take your casting material and wrap straight over that. There's no padding here in the front because we're not going to use the front part at all. Begin wrapping the fiberglass just like wrapping a short leg cast, beginning at the toes and concentrating the first roll on the foot and ankle. This is a three inch. The goal of this cast is to make it strong enough but as lightweight as possible. Continue the second roll up the leg. Note that there isn't any padding on the front of the cast. That's okay because that part of the cast will be cut out. Fold the stockinette down at the top, being careful not to bunch it up. But it just makes a nice edge there at the top. But I don't trim out the bottom until I'm done with the cast. Place the 4x15 fiberglass splint at the top of the back of the heel down to the toes. Wrap the splint on with a third roll of fiberglass. Cut and fold down the corners of the splint before wrapping the fiberglass over to make sure everything is smooth. Allow the cast to dry completely. While it's drying, make sure to mold into the arch of the foot. It's not important to mold the tibia at all because they're not going to wear the front half. Just let this part dry. Now we're going to remove it and we're going to cut just like you would a short leg. The only difference is I'm going to cut actually two lines so that I have room for my scissors. Once the cast has dried and cooled down, use a cast saw to cut two strips about a half inch apart along the medial and lateral sides of the cast. Now you want to use your spreaders. Pull the center out of the cut strips to allow room for your scissors to fit in and cut along each side. By cutting the two lines you give yourself plenty of room for your scissors because this cast will not separate like a normal cast. As you can see, it's very hard to get off. Take out the back half of the cast and round under the foot to support the metatarsal heads, and round the top at the cap. Align all edges with 1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1- 1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1 1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1 1-1-1-1-1-1-1-1-1-1-1-1-1 Thank you very much. Thank you very much. You feel sort of like a seamstress by the time you... Place another piece of padding on the footbed of the cast. And then for the bottom of the foot, I usually put one more piece coming out from the forefoot which covers up any wrinkles you might have in your stockinette. Bring that around the bottom. Place a piece of stockinette over the leg. Make the piece of stockinette longer than you normally would. Place it over the leg, put your cast underneath, make sure they're sitting back in it like you want them. Place the cast on the leg and turn the stockinette back over the cast at both the top and the bottom. Trim off any excess stockinette. This part folds back. That way the stockinette holds the cast while you wrap it with the A-strap. Wrap on with a 6-inch elastic bandage. You can use a different size bandage if you prefer or if instructed to do so by a physician. And that's the half cast.
Video Summary
In this video, the speaker demonstrates how to apply a half cast for a leg. They begin by placing stockinette over the leg, from the knee to the toes, and then over the foot. Next, they apply padding on the back of the leg and under the foot, securing it to the stockinette. Reinforcement strips are added at various points for added support. Fiberglass material is then wrapped over the leg, excluding the front. The cast is allowed to dry, and once dry, it is cut open using a cast saw. The back half of the cast is removed, and the edges are smoothed out. Additional padding is placed on the footbed and beneath the foot. Stockinette is placed over the leg, and the cast is covered with an elastic bandage. The video concludes with the finished half cast.
Keywords
half cast
leg
stockinette
padding
reinforcement strips
fiberglass material
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