Name of the Procedure:

Cast Supplies, Short Leg Splint (Pediatric, 0-10 years), Plaster (Q4047) Commonly referred to as Pediatric Short Leg Splint or Plaster Splint for Children.

Summary

A pediatric short leg splint using plaster is a procedure to immobilize a child's leg below the knee, typically following a fracture or severe sprain. The plaster material helps keep the injured area stable to facilitate proper healing.

Purpose

This procedure addresses conditions such as fractures, severe sprains, or other injuries to the lower leg. The goal is to provide stability, reduce pain, prevent further injury, and promote proper healing.

Indications

• Fractures in the lower leg bones such as the tibia or fibula.
• Severe sprains or ligament injuries.
• Post-surgical immobilization.
• Any condition requiring temporary immobilization of the lower leg in young children.

Preparation

• No fasting is required for the procedure.
• Patients may need to adjust medication only if directed by the doctor.
• X-rays or other imaging tests are typically done beforehand to assess the injury.

Procedure Description

1. Initial Assessment: The area of injury is cleaned and examined.
2. Padding Application: A soft cotton or foam padding is applied to protect the skin.
3. Plaster Application: Strips of wet plaster are carefully wrapped around the padded area of the leg.
4. Mold and Shape: The plaster is molded to conform to the child's leg for a precise fit.
5. Drying: The plaster is allowed to dry and harden.

Tools/Equipment:

• Cotton or foam padding
• Plaster bandages
• Scissors and water basin

Anesthesia/Sedation: Generally, no anesthesia is needed. Sedation may be used if the child is very anxious or in severe pain.

Duration

The procedure typically takes about 30 to 45 minutes.

Setting

Performed in a hospital, outpatient clinic, or orthopedic office.

Personnel

• Orthopedic surgeon or pediatrician
• Nurse or medical assistant

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Minor swelling

Rare Risks:

• Compartment syndrome (a serious condition that requires immediate attention)
• Allergic reaction to plaster materials

Management: Regular follow-up appointments to monitor the healing process and manage any arising complications.

Benefits

• Proper immobilization leads to effective healing.
• Pain reduction.
• Prevention of further injury. Benefits are typically realized within a few days with significant healing progress over several weeks.

Recovery

• Keep the splint dry and clean.
• Avoid putting weight on the injured leg.
• Follow-up appointments for monitoring and adjustments.
• Recovery time varies but usually spans several weeks.

Alternatives

• Fiberglass splints (lighter but more expensive).
• Air casts or walking boots (allow some mobility).
• Pros and Cons: Fiberglass is lighter but costlier, and air casts offer mobility but may not provide as rigid immobilization.

Patient Experience

Children might feel initial discomfort or heaviness due to the plaster. Pain management includes over-the-counter pain relievers and keeping the leg elevated. Comfort measures include extra padding and regular skin checks to prevent irritation.

By adhering to these guidelines, parents and caregivers can help ensure a smooth healing process for their child's leg injury.