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I. DEFINITION
Externally applied structure that holds bone in one position
Device made of layers of plaster, bandages, fiber glass or other non-plaster materials
Plaster = also called Plaster of Paris (POP)
Indications:
a. Severly displaced function
b. Unstable function fragments
• Application: At least 24 hours to dry
Advantages of POP:
3. Easy to apply
4. Inexpensive
Disadvantages
1. Long drying (24-48 hours)
2. Heavy
3. May crumble & disintegrate at edges
4. Not water proof
2. FIBERGLASS CAST
Synthetic in form – polyurethane
Indication:
.a Non-displaced fracture
.b Fitted when swelling has subsided
.c Long term casting
Advantages :
Disadvantages
1. Application requires speed & accuracy 4. Expensive
2. May bind if tissues swell (rigid) 5. Inner layer dries slowly
3.High-risk for irritation. Tissue breakdown 6. Risk for over physical mobility – light
under the 7. Fold/ twist during change in direction
cast-extra rigidity easily
V. CONTRAINDICATIONS
Pregnancy
Skin diseases