Circular Gips ( Casting )

Cir ircu cull ar Pla last ste eri ring ng Techniques (Casting)

Principles of Casting 

 A good cast

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Fits well

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Does not cause constriction

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Smooth inside

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Light Weight

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One whole – fully laminated

Indications 

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Kelainan bawaan lahir (Congenital Deformity) Fractures Cidera pada jaringan lunak ( Soft Tissue)

Tehnik Pemasangan Gips Circuler Lengan Bawah

Balutan gips lengan bawah (Long arm plaster) 

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Imobilisasi fraktur dengan cara balutan gips mengikuti kontur  jaringan lunak Imobilisasi daerah fraktur tercapai dengan ‘mengunci’ sendi siku dan pergelangan tangan Menggunakan balutan gips (POP bandag)

 Assess the Patient    

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What is the pathology or injury ? Why is the cast being applied ? Is there an underlying condition ? Look at the skin – is there a wound or redness anywhere ? Which bony areas will need extra padding ? Where are the blood vessels or nerves that are close to the surface ? Is swelling expected ? Is the cast to be weight bearing ?

Care the Patient 

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Give reassurance, explanation and request permission from the patient to proceed. Maintain privacy while removing relevant clothing Remove and store safely any relevant rings or jewellery. Make the patient as comfortable as possible in the circumstances

Tehnik 

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Reduksi fraktur  Pertahankan hasil reposisi sambil memasang stockinette Memasang balutan padding Memasang balutan gips yang sudah direndam dalam air 

Bahan yang diperlukan 

Padding: 

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Stockinette velban bandage / sofban

Elastis bandage POP (Plaster of Paris/ Gips) Sarung tangan latex (non sterile) Scissors Bucket + warm water

Tehnik membalut gips  

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Stockkinette dan padding terpasang Gips direndam dalam air sampai gelembung udara keluar  Peras secukupnya. Jangan sampai kering! Mulai membalut dengan jarak setengah lebar gips. Perhatikan daerah tonjolan tulang Ratakan dengan bag rata telapak tangan Batas distal : palmar MCP crease