Splint (medicine)

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Splint
SpecialtyOrthopedics

Splint is a medical device commonly used in orthopedics to immobilize and support injured bones, joints, or soft tissues. It is designed to provide stability, reduce pain, and promote healing. Splints are typically made of various materials such as plaster, fiberglass, or thermoplastic.

Types of Splints[edit | edit source]

There are several types of splints available, each designed for specific purposes:

Cast Splints[edit | edit source]

File:Plaster cast.jpg
A plaster cast splint

Cast splints, also known as plaster casts, are made by applying a wet plaster bandage directly to the affected area. Once the plaster hardens, it forms a rigid structure that immobilizes the injured body part. Cast splints are commonly used for fractures, sprains, and post-surgical immobilization.

Functional Splints[edit | edit source]

Functional splints are designed to allow limited movement while still providing support and protection. These splints are often used for injuries that require controlled motion, such as tendon injuries or certain fractures. Functional splints can be custom-made or prefabricated.

Static Splints[edit | edit source]

Static splints are non-adjustable and provide complete immobilization of the injured area. They are commonly used for conditions like arthritis, contractures, or after certain surgeries. Static splints are usually made of thermoplastic materials and can be molded to fit the patient's anatomy.

Dynamic Splints[edit | edit source]

Dynamic splints are adjustable and allow controlled movement of the injured body part. They are often used in the rehabilitation phase to gradually increase range of motion and prevent joint stiffness. Dynamic splints are commonly used for conditions like tendon injuries or after joint surgeries.

Application of Splints[edit | edit source]

The application of a splint should be done by a healthcare professional, such as an orthopedic surgeon or a trained medical practitioner. The process involves the following steps:

  1. Evaluation of the injury or condition to determine the appropriate type of splint.
  2. Preparation of the injured area by cleaning and padding, if necessary.
  3. Application of the splint, ensuring proper alignment and immobilization.
  4. Securing the splint with bandages or straps to maintain stability.
  5. Educating the patient on proper care and potential complications.

Advantages and Disadvantages[edit | edit source]

Splints offer several advantages in the management of orthopedic injuries and conditions:

  • Immobilization: Splints provide stability and immobilization, which helps prevent further damage and promotes healing.
  • Pain relief: By immobilizing the injured area, splints can reduce pain and discomfort.
  • Versatility: Different types of splints are available to accommodate various injuries and conditions.
  • Accessibility: Splints are widely available and can be easily applied in emergency situations.

However, there are also some disadvantages associated with splint usage:

  • Skin irritation: Prolonged use of splints can cause skin irritation or pressure sores. Proper padding and regular monitoring are essential to prevent these complications.
  • Limited access for wound care: In some cases, splints may hinder access to wounds or surgical incisions, requiring careful monitoring and adjustment.
  • Muscle atrophy: Prolonged immobilization can lead to muscle weakness and atrophy. Rehabilitation exercises are often necessary after splint removal to regain strength and function.

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD