Casts and splints are used for many orthopaedic injuries.  If you have broken a bone (fracture) and the position is acceptable, you may be in an airboot, cast or splint placed in the ER.  If your bones are misaligned, you may have needed a procedure to realign your bones.  A plaster cast is then placed to hold the bones in the right position.  This cast can often look a bit "crooked" or mis shapen.  Be aware this is normal. The shape of the cast has been specfically molded to fit your shape and support your specific break.  In addition, casts help with pain, swelling and muscle spasms. 

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In many cases, splints are placed after surgery as well.  If appropriate you may be in a brace, post operative sandal or air cast boot.

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Splints aren't as supportive as a cast but they do allow for swelling .  This is important immediately after an injury or surgery.  Often when swelling has subsided, a cast can be applied if required.  Depending on your issue, your cast may be plaster or fiberglass.  Both types must stay absolutely dry.  

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If you feel your cast or splint is too tight, it is often due to swelling. Elevate the limb and move your digits.  If you still have concerns, then you can go to the ER to arrange to have it "bivalved" or cut to allow for swelling prior to your next appointment. If you've already seen Dr. Roberts, you may contact the office to accommodate this. Depending on your injury you may need a cast for 4-6 weeks .  It may need to be replaced 1-2 times during this period of healing if it is loose, wet or uncomfortable.  

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• Keep your cast DRY

• Do NOT walk on your cast or lift with your arm unless you have been told to by Dr. Roberts. If you are in a Air Boot, you may have been instructed to walk if able in the ER.  If not, do not walk until you have seen Dr. Roberts.

• Avoid getting cast dirty

• Do NOT pick or pull at the cotton lining.  It is for your skins protection so please leave in place.

• Do NOT stick items down into the cast to itch.  This can cause injury and infection. 

• Do NOT remove, cut or trim your cast on your own. Call the office if you have concerns.

• If you have concerns about your skin around your cast edges or if your cast gets wet, you need to call the office to often have it removed and replaced. 

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If you have more questions or need further information, you can read about Casts/Splints on the American Academy of Orthopaedic Surgeon Patient info website "OrthoInfo" here. 

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