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Abduction Boot Cast

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Other Names

  • Abduction Boot Cast
  • Abduction A-frame cast

Background

Illustration of the abduction boot cast[1]
  • Cast which extends from upper thighs to feet
    • Bar placed between the legs to keep legs and hips immobile
  • Immobilizes the hip muscles in place after surgery
  • Differs from hip spica cast in that it does not go up to pelvis or torso

Indications

  • Hold hip muscles/ tendons in place after surgery

Contraindications

  • Unknown

Procedure

Equipment

Technique

  • Needs to be updated

Aftercare

  • Typically non-weight bearing until re-evaluated
  • Advise patient to keep cast or splint clean and dry
  • Do not insert objects into splint/ cast
  • Monitor for complications (worsening pain, paresthesia/ numbness, color changes)
  • Seek further care if unable to control pain at home

Complications

  • Acute Compartment syndrome
    • The ability to passively/actively extend fingers without discomfort indicates absence of muscle compartment compression
  • Plaster burn/ thermal injury
  • Pressure sores
  • Nerve palsy
  • Vascular compromise
  • Splint dermatitis
  • Permanent joint stiffness
  • Skin infection
  • Respiratory Distress
    • The patient may develop respiratory symptoms if the thoracic component is too tight
    • It can be split down the side(s) similar to a bivalve and spread to allow for expansion
    • Alternatively, it can be removed and re-applied

See Also


References

  1. Rezaei, Rana. The Easy Wrap Orthopedic Cast. Rochester Institute of Technology, 2017.
Created by:
John Kiel on 21 August 2023 03:59:17
Authors:
Last edited:
21 August 2023 05:13:34
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