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fracture care

  • 1.  fracture care

    Posted 01-16-2019 10:37
    I'm curious how many of you do splints within your office.  Because of the time and mess factor we do not.

    However I'm reconsidering.  It seems the only way to get a splint placed is to send a patient through the emergency room.
    When I have a patient who presents with pain after trauma, I send them for an xray when clinically indicated. Sometimes a fracture and sometimes not.

    It seems like a waste of time and money for both the patient and the system that for fractures I have to send them to the ED for appropriate timely care. I haven't found an orthopedic office in Seattle that has a system that allows an easy referral for acute splinting.


    Melissa Weakland MD
    Ballard Neighborhood Doctors
    Seattle WA
    IMP since 2007

  • 2.  RE: fracture care

    Posted 01-17-2019 12:08

    I most often use a build up of Pro cast 3 inch synthetic casting tape over double stockinette, and often webril.  Ace. X-rays fair through split but can be removed.  I like green! Wear gloves, wring out well, and don't get the dye on anything!  E and M and splint codes. 

    Greg Putalik  MD

    Harbor Springs Med Ctr

  • 3.  RE: fracture care

    Posted 01-20-2019 08:13
    I use orthoglass for splints when I work in Urgent care.  Very easy to learn and apply and no mess.  Cost is about 100-150 per roll but you will be able to do about 10-15 splints per roll.  I would suggest buying the 3".  Unless you use it alot, it is very expensive to buy all sizes.Biggest issue is resealing the roll after each use or the roll will dry out and become useless.

    I usually have a couple of wrist and forarm splints in office.

    We have "walk-in" ortho clinic in our community M-F 9-5

    Here are a couple of videos for orthoglass:

    Michael S. MD

  • 4.  RE: fracture care

    Posted 01-21-2019 06:04
    We too used orthoglass at our Urgent Care. . . we did carry all the sizes (2" kids, 3" adult arms, 4" LE's adult) but also had some prefab boots, wrist splints, etc..  

    Maybe see how many you sent away, what are the most frequent bones affected, and start with one size and see how it goes. . . modifying as finances dictate. . . 

    I agree - the key is to seal the orthoglass up very well so that top part stays "fresh" and maleable.  We used some extra clips to ensure that. 


  • 5.  RE: fracture care

    Posted 01-21-2019 10:59
    Another option you can look at is a SAM splint. I used them when I was working in the field more, but they are effective, very easy to work with, removable, and don’t come with any of the issues surrounding molding, etc. Probably cost ~$10/ea, but maybe not more expensive than orthoglass when you come right down to it.

    Just an option.

    Justin Altschuler, MD