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Orthopedic casts or just casts are a form of medical treatment used to immobilize and support bones and soft tissues during the healing process after fractures, surgeries, or severe injuries. By restricting movement, casts provide stability to the affected area, enabling proper alignment and healing of bones, ligaments, and tendons.
Across the street he watched workers repairing cracks in the church with strips of jute dunked in plaster of Paris. He reasoned that a jute bandage soaked in water and plaster of Paris applied in the same way as the Belgian method would harden within a few minutes and thus made a better fixation for broken bones. [ 1 ]
A hip spica cast is a sort of orthopedic cast used to immobilize the hip or thigh. It is used to facilitate healing of injured hip joints or of fractured femora. A hip spica includes the trunk of the body and one or both legs. A hip spica which covers only one leg to the ankle or foot may be referred to as a single hip spica, while one which ...
The loss of a limb, or even death, was a possible outcome for a broken bone prior to the invention of the modern cast. Brilliant in its application, yet ingeniously simple, the cast method required little expense (bandages, plaster and water), minimal time for the physician, and provided a faster and more effective cure for broken bones. [ 2 ]
Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
Orthopedic implant example seen with X-ray. An orthopedic implant is a medical device manufactured to replace a missing joint or bone, or to support a damaged bone. [1] The medical implant is mainly fabricated using stainless steel and titanium alloys for strength and the plastic coating that is done on it acts as an artificial cartilage. [2]
However, plaster of Paris casts take too long to fully dry and limits patient mobility for up to 74 hours — if the patient walks on the cast during this time, the shape will change, and the cast will not protect the foot and wound correctly. [10] Fiberglass casts were introduced in the 1980s or 1990s.