(1)
Move the affected leg forward, parallel to the cane.
(2)
Move the unaffected leg forward so that the heel is just beyond the cane.
(3)
Move the affected leg forward so that it is even with the unaffected leg.
(4) Move the cane forward 6 inches to the front and 6 inches to the side of
the patient (starting position).
(5) Repeat the sequence for desired ambulation. If less support is needed,
the cane and the affected leg can be moved together.
Section V. CASTS
1-15. INTRODUCTION
a. A cast is a device used for immobilization. Cast materials include plaster of
Paris, fiberglass, and plastic. All come in rolls that can be applied in a manner similar to
using an Ace bandage. Plaster casts are heavy, dry slowly, and lose strength and
integrity if they become wet. Fiberglass and plastic casts are light in weight, dry quickly,
and can be immersed in water and redried; however, they are expensive and may
macerate underlying skin. Casts are usually applied by a trained orthopedic specialist
under the supervision and direction of a physician.
b. Casts are used for several purposes.
(1) To immobilize fractures and hold bone fragments in reduction
(placement for healing).
(2)
To prevent movement in soft tissue injuries.
(3)
To maintain proper alignment and correct deformities.
(4)
1-16. TYPES OF CASTS
a. Short leg cast--extends from below the knee to the base of the toes.
b. Long leg cast--extends from the upper or middle thigh to the base of the toes.
c. Short arm cast--extends from below the elbow to the palm.
d. Thumb spica or gauntlet cast--extends from below the elbow to the palm and
includes the thumb.
MD0916
1-19