Circular Gips ( Casting )

7/25/2019 Circular Gips ( Casting )

1/14

Circular Plastering

Techniques(Casting)


2/14

Principles of Casting

A good cast

Fits well

Does not cause constriction

Smooth inside

Light Weight

One whole fully laminated


3/14

Indications

Kelainan bawaan lahir (Congenital

Deformity) Fractures

Cidera pada jaringan lunak ( SoftTissue)


4/14

Tehnik Pemasangan Gips

Circuler Lengan Bawah


5/14

Balutan gips lengan bawah

(Long arm plaster)

Imobilisasi fraktur dengan cara

balutan gips mengikuti konturjaringan lunak

Imobilisasi daerah fraktur tercapaidengan mengunci sendi siku danpergelangan tangan

Menggunakan balutan gips (POPbandag)


6/14

Assess the Patient

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 orredness anywhere ?

Which bony areas will need extrapadding ?

Where are the blood vessels or nervesthat are close to the surface ?

Is swelling expected ?

Is the cast to be weight bearing ?


7/14

Care the Patient

Give reassurance, explanation and

request permission from the patientto 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


8/14

Tehnik

Reduksi fraktur

Pertahankan hasil reposisi sambilmemasang stockinette

Memasang balutan padding Memasang balutan gips yang sudah

direndam dalam air


9/14

Bahan yang diperlukan

Padding:

Stockinette velban bandage / sofban

Elastis bandage POP (Plaster of Paris/ Gips)

Sarung tangan latex (non sterile)

Scissors

Bucket + warm water


10/14


11/14


12/14

Tehnik membalut gips

Stockkinette dan padding terpasang

Gips direndam dalam air sampaigelembung 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


13/14


14/14

Circular Gips ( Casting )

Documents