This document provides information on casting procedures for congenital talipes equinovarus (clubfoot). It outlines the necessary equipment including casting materials like plaster, fiberglass, and synthetic materials. The procedure involves applying stockinette, padding, and wet casting material before allowing it to dry. Patients should be assessed for neurovascular status, skin integrity, and positioning after casting. Immediate management includes elevation, checking for tightness, encouraging extremity movement, and monitoring neurovascular status.

5. (Congenital Talipes Equinovarus)

9. EQUIPMENTS
• Stockinette
• Padding material
• Cast material
– Plaster: cheaper, long shelf life, easier to
work with
• May be fragile, disintegrate in water
– Fiberglass: more durable, lighter, dry
quicker, multiple colors, water tolerant
– Newer synthetic materials

15. PROCEDURE
• Apply stockinette
– Protect skin and provide smooth edge
• Apply padding
– Protect bony prominence
– Allows for swelling
• Wet the casting material
– Hot water hardens faster
– Squeeze out excess water
• Apply splint or cast

22. ALLOW CAST TO DRY :
POP
 24 – 48 hours
Fiberglass
 Approximately 20 minutes

29. Patient Assessment with Cast
ASSESS:
• Neurovascular status for signs of compromise
• Skin integrity
• Positioning and potential pressure sites
• Cardiovascular, respiratory, GI for possible
complications of immobility
• Psychological reaction

30. Medical Intervention
1. Elevate extremity
2. Avoid resting on hard surface
3. Handle moist cast with palms of hands
4. Turn every 2 hours while cast dries
5. Assess neurovascular status at least per
shift

37. IMMEDIATE MANAGEMENT
 Elevation (at or above heart level)
 Check tightness of the cast
 Encourage movement of extremities
 Monitor neurovascular status
 Inform Doctor
 Prepare for open cast

47. PATIENT EDUCATION
• Keep cast clean
• Do not stick objects into cast
• Do not pull out the padding
• Do not apply powder or deodorant inside cast
• Watch for skin irritation
• Do not modify your cast
• Watch for cracking and breaking of cast
• Do not drive or lift anything heavy