Lower Extremity Splint Application.

Wasim Shihab, Jaime Denning
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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.

下肢夹板应用。
在儿童骨科手术中,夹板和铸造的选择在骨折早期处理、术后护理和软组织损伤稳定中起着至关重要的作用。无可挑剔的应用技术确保固定服务于其目的,而不会造成额外的伤害。在急性情况下,夹板比石膏具有至关重要的优势,特别是在有明显肿胀、不断发展的损伤、软组织损伤或需要频繁重新评估的情况下。与可能增加筋膜室综合征或压力相关并发症风险的环形石膏不同,夹板在适应软组织扩张和保留结构支持的同时提供稳定性。夹板具有可调节、可拆卸和可重复使用的特性,因此在骨折愈合和术后恢复的早期阶段,特别是对于具有高重塑潜力的年轻患者,是首选的选择。琼斯敷料是骨科中必不可少的工具,提供压迫,控制水肿,并提供轻度固定。这提高了病人的舒适度,促进组织愈合。关键概念:(1)夹板提供有效的术前稳定,稳定骨折的明确治疗,软组织损伤的管理,同时允许肿胀调节和定期重新评估。(2)夹板最大限度地减少与周向铸造相关的并发症。(3)正确的技术和填充物是有效夹板应用的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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