Long Leg Splint (Internal Medicine)

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SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Temporary immobilization for:
    • Acute fractures of the distal femur
    • Acute fractures of the tibia
    • Acute fractures of the fibula
    • Acute dislocations of the knee
CONTRAINDICATIONS
  • Infection
  • Impending compartment syndrome
  • Diabetic or other neuropathy
EQUIPMENT
  • Slightly warm  (not over 24°C)  water and bucket
  • Stockinette (optional)
  • Soft cotton bandage/undersplint material  (e.g., Webril padding),   6-inch 
  • Plaster bandages,  6-inch 
  • Elastic bandages (Ace)
  • Adhesive tape
ANATOMY
  • The femoral head articulates with the acetabulum of the pelvis.
  • The distal femur articulates with the tibia and the patella.
  • Distally, the tibia rests primarily on the talus and is stabilized by the medial malleolus.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Confirm that reduction was achieved and maintained with postsplinting radiography.
  • Conduct a neurovascular examination.
  • Instruct the patient to keep the splint clean and dry.
  • The extremity should remain elevated for the first 2-3 days.
  • Loosen the elastic bandage if neurovascular symptoms arise.
  • Reevaluate if increased pain or burning develops.
COMPLICATIONS
  • Plaster burn
  • Pressure sores
  • Nerve palsy
  • Vascular compromise
  • Splint dermatitis
  • Permanent joint stiffness
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