materi cast edit
TRANSCRIPT
![Page 1: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/1.jpg)
Casting
![Page 2: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/2.jpg)
History
• Edwin Smith Papyrus dates from 2800 to 3000 BC
• Hippocrates oil mixed with wax, resin• Albucasis (Arabic physician) mill dust and
egg whites or mixtures of grain, herbs, clay• Pirogov (Russia) + Antonius Mathijsen
(Holland) 1800s POP• Lucas Championaire Life is motion
![Page 3: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/3.jpg)
Closed Reduction
![Page 4: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/4.jpg)
![Page 5: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/5.jpg)
Hydrostatic pressure
![Page 6: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/6.jpg)
6
Price Water resist
Weight
Strength
Molding
Radiology Open
plaster cheap no heavy easily broken
easy transparant +
easy
fiberglass
expensive
yes light strong no transparant saw,bevalv
e
![Page 7: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/7.jpg)
Problem
![Page 8: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/8.jpg)
Time Limits Consideration
• Immersion time / waktu celup : 2 - 6 seconds
• Open time/ setting time/ waktu aplikasi : 2 - 6 minutes
• Drying time / waktu pengeringan : 24 - 48 hours
![Page 9: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/9.jpg)
Bahan & Alat
• Plaster bandage rol• Bebat elastis• Waskom terisi air bersih• Kapas padding, stockinette• Pemotong gips• Pensil • bantal
![Page 10: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/10.jpg)
![Page 11: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/11.jpg)
![Page 12: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/12.jpg)
Tehnik pemasangan
• Bersihkan
• padding
• Buka ujung rol
• Pegang kedua tepi rol plaster
• Celup seluruh rol kedalam air, sampai keluar
semua gelembung udara
![Page 13: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/13.jpg)
Tehnik pemasangan
• Kedua tepi rol sedikit diremas
• Dr Fracture site distal ke proximal atau sebaliknya
• Tebal lapis pada awalnya 2-3 lapis, dan dilanjutkan dgn ¼ lebar plaster
• Rolling secara spiral, permukaan dihapus utk diratakan.
![Page 14: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/14.jpg)
Tehnik pemasangan
• Asisten mempertahankan posisi tungkai, tdk boleh
bergerak pada ‘critical setting period’
• Lama pengerasan tergantung jenis plaster
• Setelah plaster mengeras, tepi-tepi dipotong utk
diratakan (trimming)
• Bersihkan kulit yg terkena gips
![Page 15: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/15.jpg)
Tehnik pemasangan
• Beri tanda lokasi fraktur, tanggal pembuatan
• Pada kasus prevensi thd sindroma
kompartemen, cast dibelah pada kedua sisi
( bivalve ) dan dibebat longgar dg bebat
elastis.
![Page 16: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/16.jpg)
Paska plastering
• Observasi tanda sindroma kompartemen• Elevasi tungkai• Tunggu kering ( 24 – 48 jam )• Gerakan bagian distal ( jari-jari ) aktif / pasif• Jaga plaster cast agar tdk rusak• Jangan memasukkan benda / menggaruk kulit
dlm cast ( bahaya infeksi )
![Page 17: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/17.jpg)
Paska plastering
• Evaluasi keadaan tungkai dan cast setelah 2 x 24 jam
• Hari ke 7 – 14, dilakukan evaluasi cast dan keadaan tungkai, bila cast longgar, evaluasi fraktur dgn X-ray, pertimbangkan penggantian cast dengan skin tight cast.
![Page 18: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/18.jpg)
18
• Lower extremitya. short leg cast (below knee)
Sarmiento castb. long leg cast (above knee)• cylinder cast• hip-pelvis : hemispica cast
double spica cast
c. spine : cervical : Minerva cast th-L : body jacket
![Page 19: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/19.jpg)
19
Walking plaster
• Sarmiento• Ankle fracture• Foot fracture
![Page 20: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/20.jpg)
APPLICATION OF A SHORT LEG AND SARMIENTO CAST
• Support metatarsal head, 5 cm proximal to the patella. Mold the leg portion of the cast and extend the knee to 45° of flexion (more Stable)
• the lower pole in the patella and moulded around the patellar tendon
• Foot plantigrade, ankle 90 degree
![Page 21: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/21.jpg)
• Positioning
![Page 22: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/22.jpg)
• Padding
![Page 23: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/23.jpg)
• Plaster Application
![Page 24: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/24.jpg)
![Page 25: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/25.jpg)
![Page 26: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/26.jpg)
• Trimming
![Page 27: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/27.jpg)
• Completed Sarmiento cast
![Page 28: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/28.jpg)
Long Leg Cast
![Page 29: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/29.jpg)
• Delbet Cast
![Page 30: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/30.jpg)
• CYLINDER CAST
![Page 31: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/31.jpg)
![Page 32: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/32.jpg)
Weight bearing spica
![Page 33: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/33.jpg)
![Page 34: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/34.jpg)
![Page 35: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/35.jpg)
![Page 36: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/36.jpg)
![Page 37: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/37.jpg)
![Page 38: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/38.jpg)
![Page 39: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/39.jpg)
![Page 40: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/40.jpg)
![Page 41: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/41.jpg)
![Page 42: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/42.jpg)
![Page 43: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/43.jpg)
![Page 44: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/44.jpg)
Long arm cast
The cast is applied from just below the axilla to just proximal to the metacarpophalangeal joints of the digits but leaving the thumb free. The wrist is placed in 30 degrees of dorsiflexion and the elbow in 90 degrees of flexion.
![Page 45: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/45.jpg)
Long-arm cast for Colles' fracture
![Page 46: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/46.jpg)
Hanging cast
• The arm is placed over the lower chest with the elbow at 90 degrees.
• the top of the humeral component of the cast is above the humeral fracture.
![Page 47: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/47.jpg)
![Page 48: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/48.jpg)
International Training Module C1
U – Slab/Humeral Splint
• humerus in line with body• elbow at 90 degrees• palm facing chest• patient shoulders remain
square• stockinette, pad, felt• extent: axilla to over
acromioclavicular• fan slab over shoulder
![Page 49: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/49.jpg)
International Training Module C1
U – Slab/Humeral Splint
• mould over shoulder for close fit
• apply pre-soaked retention bandage
• support with collar and cuff
• allow arm to hang• make function and
neurovascular checks
![Page 50: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/50.jpg)
Colles/forearm cast
used for most distal radial and ulnar fractures as well as for some carpal injuries. The cast extends from below the elbow to just proximal to the metacarpal necks of the digits with the thumb left free
![Page 51: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/51.jpg)
The short-arm cast can be used to immobilize the wrist and the base of the finger metacarpals for a host of disorders
![Page 52: Materi Cast Edit](https://reader033.vdocument.in/reader033/viewer/2022061214/549dca1db37959aa618b458e/html5/thumbnails/52.jpg)
TERIMAKASIH