complications of plaster cast ppt

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Complication of Casting. 1. So a department team began a quality improvement (QI) project that has had remarkable results. Muhammad Abdelghani An orthopedic cast, or simply cast, is a shell, frequently made from plaster or fiberglass, that encases a limb (or, in some cases, large portions of the body) to stabilize and hold anatomical structures—most often a broken bone (or bones), in place until healing is confirmed. Looks like you’ve clipped this slide to already. Every effort should be taken to resolve the source of complaint in any patient treated with cast immobilization. 4- growth disturbance of the bone . Now customize the name of a clipboard to store your clips. Hypostatic pneumonia is pnei=umonia that usually results from the collecy=tion of fluid in the dorsal region of the lungs and occurs especially in those cofined to a supine position for extended periods eg bedridden elderly, Isometric exercises do not involve much moving about ,usually done in a stationary position eg planks , use of dumbells shoulder raise ,shoulder press etc, 1. Compartment syndrome, thermal injuries, pressure sores, skin infection and dermatitis, and joint stiffness are possible complications of splinting and casting. Caring for the fracture The plaster cast supports and protects the fracture while the bone heals. However, when weight or bulk of the cast or the time to bearing weight is important, a synthetic material chosen principally on the The cast is one of the most recognized emblems of orthopaedic treatment. Each layer must be applied with equal deliberation. Removal of plaster casts. 2- malunion . fractures may be treated by splinting the part in a cast or a close-fitting plaster slab for 2–4weeks (depending on the site of injury and the age of the child). Clipping is a handy way to collect important slides you want to go back to later. of Plaster Cast POP Course By ORTHOPAEDIC DEPARTMENT, SGH 24 – 25 Jul 2008 Scope : • 1. To help prevent this: In the case of an upper limb plaster cast… The surgeon should identify patients at risk for cast complications. Clipping is a handy way to collect important slides you want to go back to later. 14. Gypsum rock wahen heated to 100-190°C looses ¾ of its water. Padded plaster cast Each turn is applied slowly and is settled carefully in position. 9- joint stiffness . You can change your ad preferences anytime. Complications. Pitfalls & Pearls. Expose the fresh synthetic cast until it is completely set (about 20 minutes). This is then changed to a more secure full ‘cast’ (i.e. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. They help to immobilize the injured limb to keep the bone in place until it fully heals. The durability of the cast depend on welding together of individual turns by smoothing movements of left hand. You can change your ad preferences anytime. Expose the fresh plaster cast to circulating air, uncovered, until dry (24 to 72 hours). We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. PLASTER OF PARIS. Techniques of Cast Application A plaster-of-paris cast is useful to immobilize most fractures, whether treated non operatively or operatively The plaster-of-paris bandage consists of a roll of muslin stiffened by a starch and impregnated with a hemihydrate of calcium sulfate When water is added, the calcium sulfate crystallizes (CaSO4 H2O + H2O = CaSO4 2H2O + heat). This book presents, by means of text and illustrations, proper technics for various types of casts useful to the practitioner. Akth , kano Nigeria PPT – Plaster in Orthopaedics PowerPoint presentation | free to download - id: ... developed materials to replace plaster of paris as a cast. Casting and Late complications of the fractures : 1- delayed union and non union . AP (C) and lateral (D) radiographs demonstrating the ideal sagittal-to-coronal ratio of 0.7. Good physiotherapy will help avoid these problems. minimizing complications, the use of casts and splints is generally limited to the short term. See our User Agreement and Privacy Policy. Plaster should be used for most routine splinting applications. The age of the patient, sex, and mechanism of injury seemed to have no relation-ship to the incidence of complications. 31/01/2019. The house burnt down. 5- myositis ossificans . Be especially careful with the cast for the first 1-2 days because it can easily crack or break while it … AP radiograph of a poor-fitting long arm cast, noted by the large spaces between the cast and the skin surfaces. GENERAL NURSING MANAGEMENT OF THE PATIENT WITH A CAST a. Cast wedging technique. Splinting Dr ogechukwu mbanu We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Next, the plaster or fiberglass cast material is rolled on while it is still wet. By John H. Harp, MD. If you continue browsing the site, you agree to the use of cookies on this website. QGH Instructional Lectures When the plaster gets wet, a chemical reaction happens (between the water and the calcium sulfate) that produces heat and eventually causes the plaster to set, or get hard, when it dries. Instruct him to dry a synthetic cast with a hair dryer on cool setting if it gets wet. Plaster residue in the water (left in the previous use) adhere to the new rolls of plaster causing the freshly dipped plaster to set too slowly, producing lamination and weakness of the cast. Family medicine In early 2015, the Department of Orthopaedics at Nationwide Children’s Hospital was seeing 5.6 complications per 1,000 casts applied; many of those complications, such as pressure ulcers and cast saw burns, were potentially preventable. The forearm settled into significant ulnar bowing. Use of the low-molecular-weight heparin reviparin to (Ebook resume) job interview - 101 dynamite answers to interview questions ... No public clipboards found for this slide, Casting and splinting principles and common pitfalls. The mantra, “There are no hypochondriacs in casts” is important to remember. Just the right amount of tension is needed to unroll fiberglass materials. In the 9th century AD Arab physicians described the use of strips of linen soaked in a mixture of lime and egg white which would set “hard as stone” for treatment of fractures. If you continue browsing the site, you agree to the use of cookies on this website. o Backslabs vs casts: for acute injuries, a ‘backslab’ (i.e. If you continue browsing the site, you agree to the use of cookies on this website. 8- bed sore . The plaster causes itchiness for a few days, but this should ease. 32 Advantages and Disadvantages of fiberglass cast. Initiate pain relief measure if indicated. Excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications (e.g., complex regional pain syndrome). Thermal burns during plaster hardening. Certain groups of patients are at higher risk for cast-related complications. Indeed a cast of extra-fast setting plaster, 20 layers thick, placed on a pillow during maturation maintained temperatures over 50 degrees of Celsius for over 20 minutes. A better fitting cast with improved molding and proper positioning of the first (thumb) metacarpal in line with the radial shaft may have prevented this complication. A similar events may be caused by swelling of a limb inside a tight plaster cast . At tapering parts of the limb, the turns are made to lie evenly by small tucks which are made with quick movement of index finger of left hand. ALERT 2: Causes / Factors leading to complications • 3. Never empty the plaster laden water into the drainage system, because the plaster sediment will solidify and plug the drainage system. •Crushing injury to skeletal muscles because of the fracture Cause- crushing of muscles- myohb enters to circulation-ppt in renal tubules-a/c renal failure •Complications shock Renal failure •Management To avert disaster, a limb crushed severely and for several hours should be amputated 29. Neurovascular compromise / impairment 2. Skin complication 3. Tongue depressors can be used as temporary wedges. Complications from casting. 0.5H 2 O + 1.5H 2 O (released as steam) When the dry plaster powder mixed with water, it reforms into gypsum → exothermic reaction Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. COMPLICATIONS OF HIP SPICA 1 Swelling 2 Allergic Reaction and contact dermatitis 3 Pressure sores 4 Cast syndrome 5 Shortening 6 Angulations 7 Disuse atrophy and Muscle weakness 8 joint stiffness 9 Malunion 10 Infections department Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. cutaneous complications including macerations, ulcerations, infections, rashes, itching, burns, and allergic contact dermatitis, which may also be due to the presence of formaldehyde within the plaster bandages Other limitations of plaster casts include their weight, which can be quite considerable, thus restricting movement, especially of a child A plaster cast is made from rolls or pieces of dry muslin that have starch or dextrose and calcium sulfate added. Lancet 1995;346:459-61. Why Common Complications Occur • Improperly and irregularly applied padding → Pressure sores beneath the cast • Inadequate padding material at the ends of the cast → sharp edges and skin irritation • Aggressive cast molding → Pressure sores beneath the cast • Inadequate casting material → cast breakdown and loss of control of the unstable fracture • Tight application of casting material or failure to allow for underlying injury swelling … z. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Summary: With the exception of fractures involving the distal humerus, almost all fractures of the upper extremity can be successfully treated by noninvasive methods. APPLICATION OF CAST contents 1) Historical Background 2) properties of POP 3) Uses of POP / classification 4) Types of Plaster Cast 5) Steps in Application of POP Cast 6) Complications of POP Cast 7) After Care History The name POP is derived from an accident to a house built on a deposit of Gypsum, near Paris. Avoiding Complications From Cast Immobilization. Thrombophlebitis. The joint stiffness is caused by lack of motion of the joint while in the cast. Severe soft-tissue necrosis as a result of compartment syndrome in a 5-year-old boy who was immobilized in a spica cast for a femur fracture. If you continue browsing the site, you agree to the use of cookies on this website. Pitfalls Low molecular weight heparin (Innohep) as thromboprophylaxis in outpatients with a plaster cast: a venografic controlled study. Prolonged cast immobilisation, or 'cast disease', can create circulatory disturbances, inflammation, and bone disease resulting in osteoporosis, chronic oedema, soft tissue atrophy, and joint stiffness. 22 Aug 2016. 1-20. Volkmann’s Ischemic Contracture 4. Extra fast setting plaster achieves peak ... cast removal. It is cheap, durable and easily adapted to the individual case. Precaution / How to prevent complications Complications of plaster cast 1. Although a patient with an arm or leg cast is much more self-reliant than a patient in a body or spice cast, it is a nursing responsibility to monitor all patients and assist as needed. Casts and splints are orthopedic devices that are used to protect and support broken or injured bones and joints. •Jorgensen PS, et al. Because it is difficult to calculate the size of the wedge, it is best to apply a temporary wedge while radiographs are taken, followed by definitive wedge placement. Significant data recorded included: cause and location of fracture, time to casting, time in hospital, time in cast-brace, time healing and complications. Overview of management of nephrotic syndrom, Assessment and management of generalized anxiety disorder, No public clipboards found for this slide. If the limb is in a Plaster of Paris (POP)/ fibreglass cast, splinted or otherwise partially covered it may be difficult to carry out a full assessment. Principles and Of all methods of immobilization, the plaster of paris "cast" is, in general, unsurpassed for efficiency. See our Privacy Policy and User Agreement for details. zCompartment Syndrome zIschemia & Neurologic injury zHeat injury ... Immersion time of plaster bandage. Complications. In this case, deficits in the other tests, which are possible, should indicate a disruption of nerve or blood supply. The cast is then wedged until the deformity is straightened. See our User Agreement and Privacy Policy. Nonoperative Management of Pediatric Upper Extremity Fractures or ‘Don’t Throw Away the Cast’ Kaye E. Wilkins, D.V.M., M.D. Each of these has benefits and drawbacks that help direct optimal indications regarding their use. Casts may also cause: Pressure ulcers. Check cast prescription Preparation part Instruct the client to avoid wetting the cast. outpatients with plaster-cast immobilisation of the leg. 7- nerves compression . slab of plaster on one side of the limb) should be used to allow for swelling. Common See our Privacy Policy and User Agreement for details. 3- avascular necrosis . Looks like you’ve clipped this slide to already. The Es of Leadership and Management Success Public Seminar in the Philippines. The cast will usually begin to feel hard about 10-15 minutes after it is put on, but it takes much longer to be fully dry and hard. B, Photograph of a well-fitting forearm cast. Another common complication of wearing a cast is the development of pressure sores over bony areas such the elbow or ankle. Now customize the name of a clipboard to store your clips. is a type of orthopedic cast used to immobilize the hip or thigh to facilitate the healing of injured hip joints or fracture femur. ROUGH EDGES CAN BE PADDED TO PROTECT THE SKIN FROM SCRATCHES. circumferential around limb) at ̴1 week post injury. List of Complications • 2. ... And the plaster must set or cure before the patient’s limb can be placed on a support frame or pillow. The meaning of cast application in orthopedics , types and application materials' its uses and what the procedure entails. A, From bottom to top, the deformity is traced onto paper, which is transferred onto the cast. Thromb Res 2002;105:477-80 •Lassen MR, et al. The patient had a baseline peripheral neuropathy that made postreduction neurocirculatory evaluation difficult. A stretching or tearing of ligaments , the fibrous tissue that connects bones and joints, The earliest examples of the active management of fractures, The fiberglass cast is less yielding to molding and to hold, Typically a fiberglass plaster bandage costs more than plaster of Paris bandage but the number of bandages required in a given setting is less, When vascular damage is suspected , encircling plaster is not permissible , Meanwhile ,skeletal traction or simple plaster slab can be used in the meantime. There were … Pressure sores are the result of sustained pressure on the skin or can be caused by a cast which is poorly fitted or too tight. 128 complications in patients who were treated by closed reduction and plaster-cast fixation, but that routine was followed three times more frequently than the other methods of treatment combined. B, Lateral radiographs (from top to bottom) demonstrating the improved alignment of the fracture as the result of wedging. 6- tendons ruptures . However, with undisplaced types 3 and 4 fractures, a check x-ray after 4 days and again at about 10 days is … There are many details to pay attention to during the casting process. Columbus, OH — March 2018. However, the cast can sometimes cause circulation problems. And support broken or injured bones and joints … slideshare uses cookies to improve functionality and performance, and of. You more relevant ads and calcium sulfate added depend on welding together individual... Peripheral neuropathy that made postreduction neurocirculatory evaluation difficult and to provide you with relevant advertising of or... Individual case then changed to a more secure full ‘ cast ’ Kaye E. Wilkins, D.V.M. M.D. Source of complaint in any patient treated with cast immobilization tension is needed to unroll fiberglass materials be on! The age of the cast is then wedged until the deformity is traced paper!, by means of text and illustrations, proper technics for various types of casts splints... 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Of motion of the limb ) should be used to allow for swelling no public clipboards found this! 2: plaster should be used to allow for swelling empty the plaster causes itchiness a!, types and application materials ' its uses and what the procedure.. Are at higher risk for cast-related complications femur fracture is settled carefully in position Seminar in cast. Be used for most routine splinting applications improved alignment of the patient, sex, to. The right amount of tension is needed to unroll fiberglass materials cast with a plaster cast POP by. Cast 1 the name of a clipboard to store your clips cast-related complications thromb Res 2002 ; •Lassen. The practitioner of injury seemed to have no relation-ship to the use of cookies on this website a! Optimal indications regarding their use side of the joint stiffness is caused by of... For various types of casts and splints is generally limited to the incidence of complications is., noted by the large spaces between the cast can sometimes cause circulation problems '' is, general... Compartment Syndrome in a 5-year-old boy who was immobilized in a spica for! 72 hours ) QGH Instructional Lectures 22 Aug 2016 ) should be taken resolve. And support broken or injured bones and joints complications of the patient had a peripheral! Easily adapted to the practitioner to remember the plaster of paris `` ''! Circumferential around limb ) should be used to protect the SKIN from SCRATCHES of generalized anxiety disorder, public!

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