Burns 404: Leg Splints Video Lecture | Introduction to Burn Care: Medical Treatment - Health & Fitness

this splint maintains knee extension and
prevents knee flexion control
this splint is used when the patient is
unable to achieve or maintain fold knee
extension it is also used for
post-operative positioning for lower
extremity grafts that cross over or meet
the knee joint the knee immobilizer is
most often used at night for a sustained
stretch if the patient has decreased
range of motion or a flexion contracture
present to apply a knee immobilizer
place the immobilizer beneath the
patient's leg have the patient
straighten his leg to achieve full knee
extension the nurse or therapist may
have to assist the patient into this
position as this extension may be
painful to achieve secondary to the burn
injury or joint stiffness from
immobility adjust the splint so that the
center opening of the splint is directly
over the knee joint check the posterior
thigh for areas where the splint may be
causing pressure and adjust the splint
as needed with the knee in full
extension close the splint with the
straps and adjust so that the splint is
fitting snugly to the leg
we usually do these two first so I can
keep track of where your knee is the
vows are a little bit on this one nice
snug you don't want it too snug that'll
cause pressure areas okay what you want
to check it is back here underneath make
sure there's no problems back there and
under here and that's your knee sits
right in front of it if it's a little
too loose you readjust
this splint will help to prevent plantar
flexion contractures protect the heal
skin integrity and protect a wound on
the lower leg this splint is used for
patients that are at high risk for
plantar flexion contractures if the
patient is not ambulatory this splint
maintains a neutral dorsiflexion the
posterior foot splint can help maintain
optimal ankle and knee position in
patients with burns on their lower
extremity or foot when the patient is
unable to ambulate due to medical status
pain or non-compliance this splint has a
really deep hole here for your heel
because I don't want your heel to be
pressing against anything when you put
your foot into this you need to make
sure it's floating in that area the heel
of this splint is bubbled to prevent
contact with the heel and help prevent
injury to the skin do not pad this area
of the splint to apply the splint to
apply the posterior foot splint the
ankle will need to be in a neutral
position while in the splint I'm firmly
pressing it down and making sure that
goes in if you can slide your heel down
any more good nice assist the patient to
achieve this position prior to placing
the splint if possible
place the patient's foot into the splint
making sure that the foot is fully
seated into the splint this splint has
three straps on it okay one to go across
your foot one goes across your mid leg
you start with the one with the pad on
to go right across your foot like that
you want this to be protected so we get
no pressure here so don't strap it on
too tight it goes on there and comes
across and snug that up a little bit
second one comes in a crisscross pattern
right across that top one so that it
doesn't again cause pressure there
okay third one comes right across this
part of your leg hooks on over here and
again soft part is right there so you
don't get any pressure then you're on
okay if you do not have the straps
attached to your posterior foot splint
then you can use an elastic wrap to keep
it in place do not allow the patient to
weight bear on this splint as it is
extremely dangerous and slippery