Usage of POP Bandages
The POP bandage can be used:
• As
a simple splint (slab to hold fractured bone and adjoining joints) (Fig. 23.1).
Slabs of plaster for the purpose of making splints can be made by folding a
plaster bandage along its length to form seven to eight layers. The foldings
can be done dry or wet, the advantage of the dry technique being that the
resulting slab can be tested for size against the length of the resulting slab
can be ready, prepared before the manipulative procedure is carried out. The
slabs can be increased in width by slightly overlapping each layer on the one
below.
• As
a complete plaster cast (encircling POP device) to hold reduction long term for
healing), the type and extent of the cast depending on the immobilization
required:
Lower
limbs:
a. Below knee cast.
b. Above knee cylinder cast.
c. Above knee (long leg) cast.
d. Hip spica.
Upper
limbs:
a. Below elbow cast.
b. Above elbow cast.
c. Colles cast.
d. Scaphoid cast.
e. Shoulder spica.
Spine
a. Half-leg.
b. Full-leg.
c. Forearm.
As
a general rule, for adequate immobilization, the joint above and the joint
below a fracture need to be incorporated in the plaster, although occasionally,
if the fracture is very close to one end of a long bone, this rule may be
broken.
A
plaster cast which is designed to immobilize the hip or shoulder is often known
as a ‘spica’ (F also designed to immobilized the spinal cord as a
plaster spinal jacket cast .
Plaster
of Paris is the most effective substance used in the immobilization of the
trunk and limbs.
The
POP bandages are available commercially prepared, they are quick setting and
extremely useful for maintaining reduction of fracture fragments. However,
these bandages can also be prepared at the clinic to cut down the costs.
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