Name of the Procedure

Cast Supplies, Short Leg Splint, Pediatric (0-10 years), Fiberglass
Common Names: Pediatric Fiberglass Short Leg Splint
Technical Terms: Fiberglass Pediatric Short Leg Cast, HCPCS Code Q4048

Summary

A pediatric short leg splint made from fiberglass is designed to stabilize and support the lower leg of children aged 0-10 years. It typically covers the area from just below the knee to the foot and is used in cases of fractures, sprains, or other leg injuries.

Purpose

The primary purpose of this procedure is to immobilize the leg to facilitate healing. It helps to stabilize fractures, ensure proper bone alignment, and prevent further injury. The expected outcome includes successful bone healing, pain reduction, and improved mobility post-recovery.

Indications

Indicated for:

• Fractures of the lower leg, ankle, or foot
• Severe sprains or strains
• Post-surgical immobilization
• Pediatric patients (0-10 years)

Preparation

• The child might need to avoid eating a few hours before the procedure if sedation is required.
• The injured leg will be assessed through X-rays or other imaging to determine the extent of the injury.

Procedure Description

1. The healthcare provider will first assess the injured leg.
2. A lightweight fiberglass splint will be measured and cut to size.
3. Padding will be applied to the injured leg for comfort and protection.
4. The fiberglass splint will be moistened and shaped around the leg.
5. The splint will harden within a few minutes.
6. Final adjustments will be made to ensure a proper fit.

Tools and Materials:

• Fiberglass casting material
• Soft padding
• Protective gloves
• Scissors and bandage wrap

Anesthesia:

• Local anesthesia may be used if necessary for pain management.

Duration

The procedure typically takes about 30 to 45 minutes, including the time needed for the cast to set.

Setting

This procedure is usually performed in:

• Hospital emergency rooms
• Outpatient clinics specialized in orthopedics
• Pediatric clinics

Personnel

• Orthopedic technicians or specialists
• Pediatric nurses and/or physicians

Risks and Complications

Common Risks:

• Skin irritation or pressure sores
• Allergic reaction to the materials

Rare Risks:

• Compartment syndrome
• Delayed healing or misalignment

Management involves regular monitoring and prompt attention to any signs of complications.

Benefits

• Effective immobilization for proper healing
• Reduced pain and discomfort
• Higher success rate in bone/healing alignment
• Lightweight and durable material compared to traditional plaster casts

Benefits are typically realized within a few weeks, with full healing expected in a few months, depending on the injury.

Recovery

• Keep the splint dry and clean
• Follow weight-bearing instructions provided by the physician
• Attend all follow-up appointments for assessments and potential adjustments
• Full recovery time varies but often ranges from 6 to 8 weeks

Alternatives

• Plaster casts: heavier and less durable but costs less.
• Removable braces: allow for better hygiene but provide less stability.
• Surgery: might be necessary for more severe fractures but comes with higher risks and longer recovery.

Patient Experience

• Minimal discomfort during application
• Post-procedure, the leg might feel heavy initially but adaptation should occur within a day.
• Pain managed with over-the-counter pain medications; prescription medications are rarely needed.
• Ensure frequent movement and gentle elevations to reduce swelling.