Long Leg Cast

Other Names

• Long Leg Cast

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Indications

Illustration of long leg cast

• Knee
  • Some nondisplaced Supracondylar Femur Fractures
• Leg
• Ankle
  • Some Distal Tibia Fractures

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Description

General

• Materials needed: see Casting Main
• Position
  • Patient should be supine
  • With assistant(s) the hip and knee are flexed to about 60°

Procedure

• Stockinette should be long, extending up into the groin and past the toes
• Apply a layer of cast padding
  • 3-4 layers total
  • Proximal edge: greater trochanter and just below the groin
  • Distal edge: extends to distal edge of metatarsals
  • Apply generously to patella, malleoli, ankle, and heel, to protect these areas from pressure sores
• Apply layer of cast material
• Fold the tubular bandage over the edges of the cast material
• Mold the cast at the area of injury to prevent further displacement of the fracture
  • Hold in position until cast material hardens

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Evidence

• Needs to be updated

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See Also

• Medical Equipment Main
• Casting Main

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