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Cast supplies, short leg splint, adult (11 years +), plaster

HCPCS code

Cast Supplies, Short Leg Splint, Adult (11 Years +), Plaster (Q4045)

Name of the Procedure:

  • Common Name(s): Plaster leg splint, short leg plaster cast
  • Medical Term: Short leg splint, adult, plaster

Summary

A short leg splint made of plaster is a form of medical casting applied to immobilize the lower leg. This involves creating a rigid support around the leg below the knee to aid in healing fractures, sprains, or post-surgical recovery.

Purpose

  • Medical Conditions: Fractures, severe sprains, soft tissue injuries, post-surgical stabilization.
  • Goals: Prevent movement, allow bones and tissues to heal, provide stability, and minimize pain and swelling.

Indications

  • Symptoms/Conditions: Swelling, severe pain, inability to bear weight, noticeable deformity.
  • Patient Criteria: Injury or condition affecting the lower leg, ankle, or foot; recommended by a healthcare provider.

Preparation

  • Pre-procedure Instructions: Minimal specific preparation required; however, discussing any medications, allergies, or pre-existing medical conditions with your healthcare provider is essential.
  • Diagnostic Tests/Assessments: X-rays or other imaging tests to assess the extent of injury.

Procedure Description

  1. Initial Assessment: The healthcare provider will examine the injury and review imaging results.
  2. Preparation: The leg is cleaned and may be padded to protect the skin.
  3. Applying Plaster: Plaster strips are moistened and applied around the leg, molding it to shape.
  4. Setting Time: The plaster hardens in about 10-15 minutes but continues to strengthen over 24-48 hours.
    • Tools/Equipment: Plaster strips, water container, padding, bandaging materials.
    • Anesthesia/Sedation: Typically not required unless pain management is needed.

Duration

  • Procedure Time: Approximately 30 minutes to 1 hour.

Setting

  • Location: Hospital, outpatient clinic, or orthopedic specialist's office.

Personnel

  • Healthcare Professionals: Orthopedic specialist, nurse, possibly radiology technician.

Risks and Complications

  • Common Risks: Skin irritation, pressure sores, swelling.
  • Rare Risks: Infection, blood clots, nerve damage.
  • Management: Monitoring for signs of complications, adjusting the cast if necessary.

Benefits

  • Expected Benefits: Stabilizes and protects the injured leg, reduces pain, aids in proper healing.
  • Realization Time: Immediate stabilization, pain relief as the injury heals over weeks to months.

Recovery

  • Post-procedure Care: Keep the splint dry and clean, monitor for signs of infection, avoid placing weight on the leg.
  • Recovery Time: Typically 4-6 weeks, depending on the injury.
  • Restrictions/Follow-up: Regular check-ups to monitor healing, avoid rigorous activities.

Alternatives

  • Other Options: Removable braces, fiberglass casts, surgical options for severe cases.
  • Pros and Cons: Braces may offer more mobility but less stability; fiberglass casts may be lighter but more expensive.

Patient Experience

  • During Procedure: Minimal discomfort, some warmth from plaster setting.
  • After Procedure: Initial heaviness and restricted movement, discomfort may be managed with over-the-counter pain relief. Adjusting to mobility aids like crutches may be necessary.

Following these guidelines ensures a thorough understanding of the short leg splint procedure, allowing patients to be well-informed and prepared.

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