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<p class="MsoNormal">HI everyone,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I understand that there is some confusion between information taught in the foot/ankle lecture and in the casting/splinting lecture & lab about when each is used.
<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">When a <b>posterior splint</b> is used: in an acute injury setting where there is swelling present – particularly with a foot or ankle fracture. You can also place an acute ankle sprain in a posterior splint if a walking boot is not available
or if significant swelling is present initially. REMEMBER: PATIENT’S MAY NOT BEAR WEIGHT ON THESE!<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">When a <b>short leg cast</b> is used: 5-7 days after foot or ankle fracture once the swelling has gone down (and then kept on for the duration of healing). Best in the situation where a patient will be non-weightbearing for the fracture
to heal. Casts can be made to sustain weight bearing (if allowed given the diagnosis), but they still break down quickly, even with a cast shoe.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">When a <b>walking boot</b> is used: with a stable, nondisplaced fracture that can ultimately be weight bearing as tolerated (Weber A distal fibula fracture, dancer’s fracture of the 5<sup>th</sup> metatarsal), also used with ankle sprains
in patients who are initially unable to bear weight, but will be allowed to do so when pain decreases.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">I hope this helps!<o:p></o:p></p>
<p class="MsoNormal">Mrs. G<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black;background:white">Laura R. Gerstner, MHA, MSHS, PA-C</span><o:p></o:p></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Associate Program Director & Associate Professor<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">Campbell University Physician Assistant Program<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">gerstnerl@campbell.edu<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black">910-893-1252<o:p></o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal" style="background:white;vertical-align:baseline"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:black"><a href="https://apps.exxat.com/public/steps/Campbell-PA/Home"><span style="color:blue;border:none windowtext 1.0pt;padding:0in">https://apps.exxat.com/public/steps/Campbell-PA/Home</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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