Using Box Splints for Lower Limb Fractures

Overview of Box Splints

Understanding the components and application of box splints for stabilising lower limb fractures.

Key Features

• Soft Foam Pack: Equipped with a hard base and footplate for stability.
• Velcro Straps: Securely fasten the splint, providing support and immobilisation.
• Two Sizes: Short and long box splints cater to different fracture locations.

Application Techniques

Choosing the Right Size

• Short box splints for fractures below the knee.
• Long box splints for fractures below the knee, feet, and toes.

Fitting the Splint

• Ensure the splint is positioned below the knee to avoid additional weight and discomfort.
• For ankle injuries, utilise the small box splint for immobilisation.

Proper Application

• Support the fracture to minimize pain and further complications.
• Slide the splint underneath the leg with gentle lifting, avoiding excessive flexation.
• Utilize the underside of the ankle or the back of the knee for support during movement.

Securing the Splint

• Fasten the Velcro straps, ensuring they do not exert pressure directly over the fracture.
• Check for any hollows or dips and use packing, such as gauze, for additional support.
• Inspect the limb for injuries and ensure proper circulation before tightening the splint.

Final Steps

• Once all straps are secured, cross the footplate straps over the bridge of the foot to lock everything in place.
• Immobilize the foot, ankle, tibia, and fibula to form a solid fixed unit.

Conclusion

Box splints provide effective immobilisation and support for lower limb fractures, ensuring patient comfort and safety during transportation and treatment.