Total contact cast
A method of constructing a total contact cast, that includes the steps of wrapping a lower leg with foam from above the malleoli to mid-calf, covering the foot and lower leg with stockinette; covering the foot and ankle with cast padding, and applying cast tape to the leg over the previously-applied foam and allowing the cast tape to harden. A foam pad and lateral and medial malleolar pads are applied to the leg section of the cast and a foot and ankle positioning device is applied to the leg, and cast tape is applied over the lower leg and foot and allowing the cast tape to harden. A walking support is applied to the foot. A foot and ankle positioner for a total contact cast is also disclosed.
1. A method of constructing a total contact lower leg cast, comprising the steps of:
(a) wrapping a thoroughly cleaned lower leg with foam from above the malleoli to mid-calf;
(b) covering the foot and lower leg with stockinette that overlaps a predetermined part of the previously wrapped foam;
(c) covering the foot and ankle with cast padding;
(d) applying cast tape to the lower leg over the previously wrapped foam, and allowing the cast tape to harden;
(e) positioning, over the previously applied and hardened cast tape, a foam pad under the foot and lateral and medial malleolar pads against lateral and medial aspects of the ankle;
(f) positioning a foot and ankle positioning device on the lower leg, the foot and ankle positioning device including a foot pad and medial and lateral side extensions extending up the medial and lateral aspects of the ankle and lower leg at a right angle to the foot pad;
(g) applying cast tape over the foot and ankle positioning device and the previously applied and hardened cast tape and allowing the cast tape to harden; and
(h) applying a walking support to the foot.
2. A method according to claim 1 , and including the step of leaving a toe area of the cast open to provide ventilation to the foot.
3. A method according to claim 1 , and including the step of shortening the medial and lateral side extensions to a length medically suitable for the length of the lower leg.
4. A method according to claim 1 , wherein the walking support comprises a cast shoe.
5. A method according to claim 1 , wherein the foot and ankle positioning device is applied after the cast tape is applied in step (d) and before the cast tape is applied in step (g).
6. A method according to claim 1 , and including the step of shortening the foot pad a length medically suitable for the length of the foot.
7. A method according to claim 1 , and including the steps of shortening the medial and lateral side extensions to a length medically suitable for the length of the lower leg and shortening the foot pad a length medically suitable for the length of the foot.