{"title":"Lower Extremity Splint Application.","authors":"Wasim Shihab, Jaime Denning","doi":"10.1016/j.jposna.2025.100248","DOIUrl":null,"url":null,"abstract":"<p><p>In pediatric orthopaedic surgery, the choice between splinting and casting plays a crucial role in early fracture management, postoperative care, and soft tissue injury stabilization. Impeccable application technique ensures that the immobilization serves its purpose without causing additional injury.Splints provide crucial advantages over casts in acute situations, particularly in cases with significant swelling, evolving injuries, soft tissue damage, or the necessity for frequent reassessment. Unlike circumferential casts, which can heighten the risk of compartment syndrome or pressure-related complications, splints deliver stability while accommodating soft tissue expansion and preserving structural support. Their adjustable, removable, and reapplicable nature makes splints a preferred choice during the early stages of fracture healing and postoperative recovery, particularly for younger patients with high remodeling potential.The Bulky Jones dressing is an essential tool in orthopaedics, providing compression, controlling edema, and offering mild immobilization. This enhances patient comfort and promotes tissue healing.</p><p><strong>Key concepts: </strong>(1)Splints provide effective preoperative stabilization, definitive treatment of stable fractures, and management of soft tissue injuries while allowing for swelling accommodation and periodic reassessment.(2)Splinting minimizes complications associated with circumferential casting.(3)Proper technique and padding are essential for effective splint application.</p>","PeriodicalId":520850,"journal":{"name":"Journal of the Pediatric Orthopaedic Society of North America","volume":"12 ","pages":"100248"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341714/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pediatric Orthopaedic Society of North America","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jposna.2025.100248","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
In pediatric orthopaedic surgery, the choice between splinting and casting plays a crucial role in early fracture management, postoperative care, and soft tissue injury stabilization. Impeccable application technique ensures that the immobilization serves its purpose without causing additional injury.Splints provide crucial advantages over casts in acute situations, particularly in cases with significant swelling, evolving injuries, soft tissue damage, or the necessity for frequent reassessment. Unlike circumferential casts, which can heighten the risk of compartment syndrome or pressure-related complications, splints deliver stability while accommodating soft tissue expansion and preserving structural support. Their adjustable, removable, and reapplicable nature makes splints a preferred choice during the early stages of fracture healing and postoperative recovery, particularly for younger patients with high remodeling potential.The Bulky Jones dressing is an essential tool in orthopaedics, providing compression, controlling edema, and offering mild immobilization. This enhances patient comfort and promotes tissue healing.
Key concepts: (1)Splints provide effective preoperative stabilization, definitive treatment of stable fractures, and management of soft tissue injuries while allowing for swelling accommodation and periodic reassessment.(2)Splinting minimizes complications associated with circumferential casting.(3)Proper technique and padding are essential for effective splint application.