Figure 2.33 Non-weight-bearing short leg cast to immobilize the foot and ankle. Position the foot and ankle in the functional position, which is 0° of dorsiflexion. Measure 4 inches (10 cm) beyond the tibial tubercle and 4 inches (10 cm) beyond the metatarsal heads to determine the amount of stockinette needed. Apply the stockinette, and cut a slit in the stockinette across the front part of the ankle to eliminate any folds. Beginning at the metatarsal heads, roll the cast padding circumferentially from distal to proximal, overlapping by 50% to end at the tibial tubercle. Do not cover the heel at this time. Apply extra padding to protect the malleoli. Cast padding should now be applied to the heel. Starting at the metatarsal heads, begin applying the fiberglass from distal to proximal, overlapping the previous layer by 50%. Initially close in the foot and ankle with fiberglass, followed by the lower leg. Fold down the stockinette and secure the ends of the stockinette with the final layers of fiberglass. Using the palm and heel of your hand, mold the casting material as needed. () Completed non-weight-bearing short leg cast.
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