Name of the Procedure:

Common Name(s): Long Leg Splint Application (Fiberglass) Technical/Medical Terms: HCPCS Q4042 - Cast Supplies, Long Leg Splint, Adult (11 years +), Fiberglass

Summary

A long leg splint involves applying a fiberglass cast to the leg extending from the thigh to the ankle. This is typically done to immobilize the leg to allow for proper healing of fractures, severe sprains, or post-surgical protection.

Purpose

The long leg splint is used to support and immobilize the leg to facilitate the healing of fractures or severe injuries. Its main goals are to reduce pain, prevent further injury, and ensure proper alignment during the healing process.

Indications

• Fractures of the tibia or fibula
• Severe knee injuries
• Post-operative stabilization after certain surgeries
• Severe ligament or tendon injuries
• Conditions requiring prolonged immobilization of the leg

Preparation

• Patients may need to avoid eating or drinking for a few hours if sedation is required.
• Pre-procedure imaging tests, like X-rays, may be needed to assess the injury.
• Patients should inform their doctor of any medications or allergies.

Procedure Description

1. The patient is positioned comfortably, usually lying down.
2. The healthcare provider cleans and prepares the injured leg.
3. Padding is applied to protect the skin.
4. A fiberglass wrap is then applied from the thigh down to the ankle, molding it to the contour of the leg.
5. Once the fiberglass hardens, it forms a rigid shell that immobilizes the leg.
6. The splint is secured and adjusted for comfort.

Tools/Equipment: Padding materials, fiberglass casting material, scissors, water to activate casting. Anesthesia/Sedation: Usually not required, but mild sedation may be used for very anxious patients or complex cases.

Duration

The procedure typically takes about 30-45 minutes.

Setting

The procedure is often performed in an outpatient clinic, emergency room, or hospital setting.

Personnel

• Orthopedic surgeons or trained medical professionals
• Nurses or medical assistants

Risks and Complications

Common:

• Skin irritation or pressure sores
• Tightness or discomfort

Rare:

• Compartment syndrome
• Circulation issues
• Deep vein thrombosis (DVT)

Management: Regular monitoring and prompt attention to any signs of complications.

Benefits

• Proper immobilization aids healing.
• Reduces pain and discomfort.
• Minimized risk of further injury.
• Typically, improvement is noticed within a few days, with full healing depending on the injury severity.

Recovery

• Keep the splint dry and clean.
• Follow weight-bearing restrictions as advised.
• Look out for increased pain, swelling, or changes in color below the splint.
• Follow-up appointments may be required for cast adjustments or removal, usually within 4-6 weeks.

Alternatives

• Short leg casts or splints for lesser injuries.
• Functional braces for specific needs.
• Pros and Cons: Alternatives may offer less immobilization but more comfort and mobility.

Patient Experience

During the procedure, patients might feel pressure but usually no pain. Post-procedure, there may be some discomfort initially as the leg adjusts to the immobilization. Pain management includes over-the-counter pain relievers and elevating the leg to reduce swelling. Comfort measures include padding adjustments and following care instructions closely.