Name of the Procedure:

Cast supplies, long leg splint, pediatric (0-10 years), fiberglass (Q4044)

Common Name:

• Pediatric Long Leg Fiberglass Splint

Technical/Medical Term:

• Pediatric Lower Extremity Immobilization with Fiberglass Splinting

Summary

A long leg splint is used to immobilize a child's leg, from the thigh down to the foot, typically constructed from a durable fiberglass material. This type of splint is commonly used to support and protect a fractured or injured leg in young children, ensuring proper healing while minimizing movement.

Purpose

• Medical Conditions Addressed:

  • Fractures or breaks in the lower leg (tibia or fibula)
  • Severe sprains or soft tissue injuries
  • Post-operative stabilization following leg surgery

• Goals:

  • Immobilize the leg to ensure proper bone alignment and healing
  • Reduce pain and swelling
  • Prevent further injury to the affected area

Indications

• Specific Symptoms or Conditions:

  • Severe leg pain following an injury
  • Visible deformity or swelling in the leg
  • Inability to bear weight on the injured leg

• Patient Criteria:

  • Pediatric patients aged 0-10 years with lower extremity fractures or serious soft tissue injuries requiring immobilization

Preparation

• Pre-Procedure Instructions:

  • No special preparation is usually required, though the child may need reassurance and explanation of the procedure to reduce anxiety
  • Remove any clothing or accessories from the affected leg

• Diagnostic Tests:

  • X-rays or other imaging to assess the extent of the injury accurately

Procedure Description

1. Initial Assessment:

   • The healthcare provider examines the injured leg to determine the best splinting approach.

2. Positioning:

   • The child is positioned comfortably, usually lying down, with the injured leg supported.

3. Application of Padding:

   • Soft padding is applied to the leg to protect the skin and provide comfort.

4. Fiberglass Splint Application:

   • Strips of fiberglass material are moistened and molded around the padded leg from the thigh to the foot, ensuring proper alignment.

5. Setting:

   • The fiberglass hardens quickly, forming a rigid splint that immobilizes the leg.

6. Final Adjustments:

   • The splint is checked for proper fit and comfort, and any necessary adjustments are made.

Duration

• The procedure typically takes about 15-30 minutes.

Setting

• The procedure is usually performed in an outpatient clinic, emergency department, or orthopedic office.

Personnel

• Orthopedic specialist or physician
• Nurse or medical assistant

Risks and Complications

• Common Risks:

  • Skin irritation or pressure sores
  • Discomfort or itching

• Rare Complications:

  • Compartment syndrome (a serious condition caused by pressure buildup)
  • Circulation issues leading to numbness or tingling

Benefits

• Expected Benefits:

  • Effective immobilization promotes proper healing of bones and tissues
  • Pain relief through stabilization of the injured area

• Realization Timeline:

  • Immediate immobilization is achieved, with pain relief typically noticed soon after application

Recovery

• Post-Procedure Care:

  • Keep the splint dry and clean
  • Monitor for signs of complications such as increased pain or color changes in the toes

• Recovery Time:

  • Healing times vary; follow-up appointments will be scheduled to monitor progress and determine when the splint can be removed

Alternatives

• Other Treatment Options:

  • Cast immobilization
  • Surgical intervention for severe fractures

• Pros and Cons:

  • Casts provide more rigid support but can be less flexible for some activities; surgery is more invasive with longer recovery

Patient Experience

• During the Procedure:

  • The child may feel pressure or warmth from the fiberglass material setting but should not experience significant pain.

• After the Procedure:

  • Possible mild discomfort or itching under the splint; pain management typically involves over-the-counter pain relievers.
  • Parents will need to ensure the splint is kept dry and monitor their child for any signs of complications.