This document discusses casting, splinting, and bracing for wounds. It describes how casts are used to hold fractures in place and prevent movement of injured areas. Splints are used when there is too much swelling and prevent motion, especially for soft tissue injuries. Braces allow a predetermined amount of motion and can be alternatives to splints. The document provides examples of different types of casts, splints, and braces and how they can help treat and protect wounds, fractures, and surgical sites. It emphasizes that casting, splinting, and bracing are important techniques for immobilizing injuries and wounds during the healing process.

1. Casting, Splinting, and
Bracing For Wounds
Mike Perez
Orthopedic Technologist

2. Mike Perez
• U.S. Navy Corpsman 2002-2010
• Orthopedic Technologist 2003
• Veterans Affairs Hospital: 2010

3. Normal Use
• Hold Fractures in place while one
heals
• Prevent use of affected area while
allowing use of non-injured limbs.
• Can stay on for up to a month.

4. When to Cast?
• Done when edema is under control.
• Draining volume may equal more cast changes.
• Patient mobility.
• Patient compliance.

5. Casting for Wounds
• Prevents shearing and friction forces.
• Prevents muscles from activating
• Can be used to offload.
• Wounds can be treated via a window.
• Wet to dry dressing, graft implants, and wound vacs.
• Protect wounds, grafts, and surgical repairs form the elements and patients.

6. Total Contact Cast

7. Cylinder Cast For A Wound Vac

8. Splinting
• Used when there is to much edema.
• Prevents motion.
• Used for soft tissue injury and fractures.
• Used in an Acute setting and sometimes post-operative.

9. Splint Types

10. Splints in Action

11. Bracing for Wounds
• Allows for a
predetermined amount
of motion.
• Can be used in place of
certain splints.

12. Need Help or Have Questions.
Mike Perez
Orthopedic technologist
Mike.Perez@VA.GOV
mikeperez1777@gmail.com

13. Thank You
“Do not pry for easy lives, pry
to be stronger men.” –
President John F. Kennedy

14. References
References
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• default - Stanford Children's Health. (2018). Retrieved from https://www.stanfordchildrens.org/en/topic/default?id=cast-types-and-maintenance-
instructions-90-P02750
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instructions-90-P02750
• Double sugar tong splint - WikEM. (2018). Retrieved from https://wikem.org/wiki/Double_sugar_tong_splint