Name of the Procedure:

Common Name: Short Leg Cast
Technical/Medical Term: Q4037 - Cast supplies, short leg cast, adult (11 years +), plaster

Summary

A short leg cast is a type of cast that covers the area from the foot to just below the knee. It is made using plaster and is designed to immobilize and support a fractured or injured leg.

Purpose

Medical Conditions or Problems Addressed

• Fractures of the lower leg, foot, or ankle
• Severe sprains or soft tissue injuries
• Post-operative immobilization

Goals or Expected Outcomes

• Stabilization of the injured area to promote healing
• Prevention of further injury
• Reduction of pain by limiting movement

Indications

Specific Symptoms or Conditions

• Pain, swelling, or deformity in the lower leg, foot, or ankle
• Diagnosed fractures or severe sprains
• Need for immobilization following surgery

Patient Criteria

• Adults and children 11 years and older
• Patients who can tolerate the immobilization provided by a plaster cast

Preparation

Pre-Procedure Instructions

• No significant preparation typically required
• Inform the doctor of any allergies to plaster or recent infections

Diagnostic Tests or Assessments

• X-rays to determine the exact nature of the injury
• Possible MRI or CT scans if additional details are needed

Procedure Description

Step-by-Step Explanation

1. The healthcare provider will assess the injury and confirm the need for a short leg cast.
2. The injured leg will be placed in the correct position for casting.
3. Protective padding is applied to the leg to prevent irritation and provide comfort.
4. Plaster bandages are dipped in water and wrapped around the leg, molding to the contours.
5. The plaster is smoothed out and allowed to harden, forming a solid, protective cast.

Tools, Equipment, or Technology Used

• Plaster bandages
• Padding materials
• Water for bandage activation
• Scissors or cast saw for removal

Anesthesia or Sedation

• Generally, no anesthesia or sedation is required for applying a cast.

Duration

• The procedure typically takes about 30-45 minutes.

Setting

• The procedure is usually performed in outpatient clinics, emergency departments, or orthopedic offices.

Personnel

• Orthopedic technician or nurse to apply the cast
• Physician or orthopedic surgeon to assess and oversee the procedure

Risks and Complications

Common Risks

• Skin irritation or pressure sores
• Itching under the cast ##### Rare Risks
• Compartment syndrome (increased pressure and decreased circulation)
• Infection if open wounds are present

Possible Complications

• Compartment syndrome may require emergency intervention
• Severe itching may necessitate cast adjustment or removal

Benefits

• Immobilization promotes healing of fractures and injuries
• Pain relief by limiting movement
• Prevents further damage to the affected area
• Benefits are generally realized within a few days of immobilization

Recovery

Post-Procedure Care and Instructions

• Keep the cast dry and clean
• Elevate the leg to reduce swelling
• Avoid inserting objects inside the cast to scratch

Expected Recovery Time

• Varies by injury but generally 6-8 weeks

Restrictions

• Weight-bearing restrictions as advised by the doctor
• Regular follow-up appointments to monitor healing

Alternatives

Other Treatment Options

• Splints or braces for milder injuries
• Surgical intervention for severe fractures

Pros and Cons of Alternatives

• Splints are removable and less restrictive but may not provide as much support.
• Surgery may offer a quicker recovery but involves more risks and higher costs.

Patient Experience

During the Procedure

• Patients may feel warmth from the moist plaster as it hardens ##### After the Procedure
• Possible discomfort from the rigidity or pressure of the cast ##### Pain Management and Comfort Measures
• Pain usually subsides as the injury stabilizes
• Over-the-counter pain relievers may be recommended