Name of the Procedure:

Common Name: Short Leg Cast (Pediatric) Technical/Medical Term: Cast Supplies, Short Leg Cast, Pediatric (0-10 years), Fiberglass (Q4040)

Summary

A short leg cast made of fiberglass is used to immobilize the lower leg, ankle, and foot in children aged 0-10 years. This type of cast helps facilitate the healing process of fractures or injuries by keeping the affected area stable and supported.

Purpose

The purpose of using a short leg cast is to:

• Promote healing of fractures or bone injuries in the lower leg, ankle, or foot.
• Provide stability and support to the injured area, preventing movement and further damage.
• Alleviate pain by immobilizing the affected limb.

Indications

This procedure is indicated for:

• Fractures of the lower leg, ankle, or foot in pediatric patients.
• Severe sprains or ligament injuries.
• Post-surgical immobilization to ensure proper healing.
• Corrective positioning for congenital deformities or after orthopedic surgeries.

Preparation

• The patient does not typically need to fast or make medication adjustments for this procedure.
• Diagnostic imaging such as X-rays may be required to assess the extent of the injury and guide the casting process.

Procedure Description

1. The injured area is examined and, if necessary, imaged with X-rays.
2. The area is cleaned and prepared.
3. Padding is applied to the skin to protect it from the fiberglass material.
4. The fiberglass casting tape is activated with water and wrapped around the lower leg, ankle, and foot, ensuring an even application.
5. The cast is molded and shaped to provide optimal immobilization.
6. The cast hardens within a few minutes, forming a rigid shell.

Tools and Equipment:

• Padding materials
• Fiberglass casting tape
• Scissors
• Water source for activation

Anesthesia or Sedation:

• Generally not required, but local anesthetic may be used if the procedure involves pain.

Duration

The casting procedure typically takes about 20 to 30 minutes to complete.

Setting

This procedure is usually performed in an outpatient clinic, urgent care center, or hospital emergency room.

Personnel

• Orthopedic technician or nurse
• Supervision by a pediatrician or orthopedic specialist

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Minor swelling

Rare Risks:

• Compartment syndrome due to excessive swelling
• Cast-related infection

Complications Management:

• Immediate medical evaluation if severe pain, numbness, or unusual swelling occurs.
• Regular monitoring of the cast for tightness and skin condition.

Benefits

• Effective immobilization to promote healing
• Reduction in pain and swelling
• Proper alignment for bone healing

Expected benefits are usually realized within a few days to a few weeks, depending on the injury’s severity.

Recovery

• Keep the cast dry and clean to avoid skin irritation.
• Elevate the leg to reduce swelling.
• Follow-up appointments for cast inspection and possible adjustments.
• The cast is typically worn for 4 to 6 weeks, depending on the injury's healing progress.

Alternatives

• Splints: Less rigid, removable, may be less effective for certain injuries.
• Boot casts or walking braces: Allow for some movement, may not provide the same level of immobilization.
• Non-surgical treatments: Only for minor injuries that do not require complete immobilization.

Patient Experience

During the Procedure:

• The process may feel warm as the fiberglass material hardens.
• Minimal discomfort during the application.

After the Procedure:

• Some itching and mild discomfort as the cast adjusts to the limb.
• Pain management with over-the-counter medications if needed.
• Ensuring the cast remains intact and dry for optimal comfort and effectiveness.