30. Commonly used splints and potential complications

Question 1

30. Commonly used splints and potential complications

Answer 1

Splints and casts
-Robert-Jones bandage
-spoon splint
>Sam splint
>plastic
-spica splint
-fiberglass cast

Robert-Jones bandage
-most commonly used
-pre- and/or postoperative use
-pros:
>minimal risk of vascular damage
>minimization of swelling
*enhanced visualization and palpation of anatomic landmarks during surgery
>prevention of additional soft tissue damage by sharp bone fragments
>elimination of dead space after surgery
>easy to use
-cons:
>only minimal stability of bone fragments

Materials
-tape
-cotton gauze(sideharso)
-cotton padding
-elastic tape

Spoon splint
-used to immobilize fractured:
>distal radius and/or ulna
>carpus or tarsus
>metacarpus or metatarsus
-usually made of aluminium or plastic

Materials
-spoon splint
-tape
-cotton padding
-cotton gauze
-elastic tape

Spica splint
-used to immobilize fractured humerus or femur
-torso is enveloped

Materials
-tape
-cotton padding
-cast material
-cotton gauze
-elastic tape