Using Box Splints for Lower Limb Fractures
Overview of Box Splints
Understanding the components and application of box splints for stabilising lower limb fractures.
Key Features
- Soft Foam Pack: Equipped with a hard base and footplate for stability.
- Velcro Straps: Securely fasten the splint, providing support and immobilisation.
- Two Sizes: Short and long box splints cater to different fracture locations.
Application Techniques
Choosing the Right Size
- Short box splints for fractures below the knee.
- Long box splints for fractures below the knee, feet, and toes.
Fitting the Splint
- Ensure the splint is positioned below the knee to avoid additional weight and discomfort.
- For ankle injuries, utilise the small box splint for immobilisation.
Proper Application
- Support the fracture to minimize pain and further complications.
- Slide the splint underneath the leg with gentle lifting, avoiding excessive flexation.
- Utilize the underside of the ankle or the back of the knee for support during movement.
Securing the Splint
- Fasten the Velcro straps, ensuring they do not exert pressure directly over the fracture.
- Check for any hollows or dips and use packing, such as gauze, for additional support.
- Inspect the limb for injuries and ensure proper circulation before tightening the splint.
Final Steps
- Once all straps are secured, cross the footplate straps over the bridge of the foot to lock everything in place.
- Immobilize the foot, ankle, tibia, and fibula to form a solid fixed unit.
Conclusion
Box splints provide effective immobilisation and support for lower limb fractures, ensuring patient comfort and safety during transportation and treatment.
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