Long Leg Splint

• Temporary immobilization for:
  • Acute fractures of the distal femur
  • Acute fractures of the tibia
  • Acute fractures of the fibula
  • Acute dislocations of the knee

• Infection
• Impending compartment syndrome
• Diabetic or other neuropathy

• 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

• 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.

Figure 1 :  Distal femur fracture

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Figure 2 :  Equipment

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Figure 3 :  Skeletal anatomy

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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

Figure 6 :  Patient positioning

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Figure 8 :  Splint application

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• 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.

• Plaster burn
• Pressure sores
• Nerve palsy
• Vascular compromise
• Splint dermatitis
• Permanent joint stiffness

Figure 9 :  Repeat neurovascular exam

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