Long leg cast LLC registration [Expert Approved]

Last updated : Aug 4, 2022

Current : 3975

What is a long leg walking cast?

Leg cylinder cast/long leg cast used for knee or lower leg fractures, knee dislocations, or after surgery on the leg or knee. applied from the upper thigh to the ankle or foot. usually applied with the knee bent to prevent walking on the cast.

What is the CPT code for application of a long leg cast?

CPTÂ® Code 29345 in section: Application of long leg cast (thigh to toes)

Why would you need a long leg cast?

Long leg casts can be applied in the acute care setting for acceptably reduced tibial fractures or nondisplaced supracondylar fractures of the femur. The latter stable fractures most often occur in younger children. In smaller children, long leg casts can be applied continuously from the toes to the upper thigh.

What are the types of cast?

Plaster cast. This is made from gauze and plaster strips soaked in water.
Synthetic cast. This is made from fiberglass or plastic strips.
Cast brace. This is made of hard plastic.
Splint (also called a half cast). This is made from slabs of plaster or fiberglass that hold the injury still.

What is cast application?

What Is Cast Application? A cast is used to hold a fractured bone in place while it heals. It is a noninvasive option for immobilizing a broken bone.

What is a leg cylinder cast used for?

Leg cylinder cast Knee, or lower leg fractures, knee dislocations, or after surgery on the leg or knee area.

What is a long leg splint?

Long leg splintage is a useful technique for temporary immobilization of a fracture involving the distal femur. It can be used in the emergency room to immobilize the limb of a patient with an isolated injury. It can also be used as a temporary aid to fracture stabilization in the multiple injured patient.

How much does a cast cost?

On MDsave, the cost of an Arm or Leg Cast ranges from $141 to $680. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave. Read more about how MDsave works.

Can you walk with a long leg cast?

Do not walk on a cast unless you have been told it is safe to do so and have been given a plaster shoe. The itchiness should settle down after a few days.

What color casts can you get?

Cast Colors If your child requires a formal fiberglass cast, there are a number of colors to choose from. The following colors are usually available upon request: Navy Blue, Light Blue, Green, Red, Black, Pink and Off White (standard). Orange and Purple are not usually available.

Can you bill for cast removal?

The allowance for application of a cast, splint or strapping includes removal or repair by the same physician or other physician in the same group. Billing for cast removal or repair (29700-29750) should be employed only for casts applied by another physician group.

What is a BK cast?

The below-knee cast is a circumferential shell of casting material (plaster of Paris or synthetic) that is useful for immobilizing fractures and complex ligamentous injuries of the lower leg, and for maintaining foot position during conservative management of Achilles tendon ruptures.

What happens if a cast gets wet inside?

A wet cast can lead to skin irritation or infection. Plaster casts and fiberglass casts with conventional padding aren't waterproof. Keep your child's cast dry during baths or showers by covering it with two layers of plastic, sealed with a rubber band or duct tape.

How do you sleep with a leg cast on?

Elevate your extremity If it is your Leg, take some large pillows such as your large couch or chair cushion and place it on your bed. Lie flat on your back and have the leg propped up on the pillow. Keep adding the pillows until your leg is at least 10cm (over 1.25 inches) above your heart level.

How much does a leg cast weigh?

As an example, a fiberglass short leg cast, sometimes called a boot cast, weighs about a pound. The same cast made of plaster weighs from 21/2 to 31/2 pounds, Sicher said. Another advantage of fiberglass casts is they are not easily damaged nor can they be removed by the patient.

What are the 4 types of casting?

Sand Casting Process.
Gravity Die Casting.
Pressure Die Casting.
Investment Casting.
Plaster Casting.
Centrifugal Casting.
Lost-Foam Casting.
Vacuum Casting.

What is a cast called?

Casts & Splints. Casts and splints are orthopedic devices that are used to protect and support fractured or injured bones and joints. They help to immobilize the injured limb to keep the bone in place until it fully heals. Casts are often made from fiberglass or plaster.

What is the full meaning of cast?

A cast is the group of actors who make up a film or stage play.

Can nurses apply casts?

Typically a doctor applies a cast and a nurse prepares the patient and the equipment and assists during the procedure. With special preparation, a nurse or other practitioners may apply or change a standard cast, but an orthopedist must reduce and set the fracture.

What are some of the disadvantages of casting?

Disadvantages of metal casting processes Compared with forgings of the same size and shape, the intrinsic quality of castings is weaker, and the load-bearing capacity is less than that of forgings; Poor working environment with high temperature, dust, and high labor intensity.

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Comment by Jamal Annala

impact your one source for fracture management products okay now we're going and straight a long leg cast I'm going to put this on in two parts the first part would be the short leg which is pretty similar to all short legs one thing we're going to do different is two sections of stockinette 1/3 inch for the lower leg and you can put a four inch for the upper leg and you can adjust to the size of the person obviously you can get a three inch all the way up that is great unless wrinkles once again we always try to get the foot in the right angle but on a long leg cast we don't need to achieve that quite as much but once again if you're in a long leg casts or the cast for a long period of time the gastroc will shrink and contract and you'll have to deal with that it's very difficult for the patient so anytime you can get them in neutral better for the patient Dart once again the excess material I always kind of take the dog gear off pad just like it would do well the other caste figure eight around the ankle be redundant as much as you can around the ankle to heal to protect the Malalai from rubbing and the Aquila and the kilise area from rubbing and we're going to work our way up the leg there's me I like to go just stop just above the tibial tuberosity pad very well to protect around the fibula because you have the peroneal nerve that cuts in across here come back down to protect the tibia press go back up start wrapping distally work approximately once again take it a nice wide while like a 4-inch go right through the whole ankle you get it a little wrinkles as possible I'm not worried about weight bearing through the foot because it will be a bent knee cast so I don't have to put as much in the foot area but to protect the toes I always cut back so you can see what's going on in the cast those are great indicators what's going on in a cast with the next role and set up a little bit will continue up the leg now we're going to continue up the leg you'll notice I have the stockinette and make sure there's not as any wrinkles in the socket as much as possible right here's where we stopped the short leg part of the cast we'll just continue adding padding right here our next bony province is a kneecap pad that well maybe a couple of different direction pads coorporate all that into the padding and bring it up to the thigh once again the cuff has to be pretty thick to protect the patient enough padding protect the patient from the cast itself we're going to proceed with the cast starting on the cast itself so we have a nice transition area that's smooth to the patient you notice we get about a 30 degree Bend we can actually go up about 45 on the average patient this is for a non-weight-bearing long leg cast we're going to do a weight-bearing long leg cast you'd have about 5 to 10 degrees of flexion of the knee bring the cast material just with a slight little tug on it up here so you have good contact with the upper part of the leg fold the edges down so right here get that edge down make sure you're not overshooting your boundary here a little bit and bring it back down over the knee where we will concentrate on this part of the cast make sure the reinforcement is really good this point we're essentially done with the Casper we're going to make sure the strength of the cast by putting a roll from the proximal end to the distal end of the cast and the cast is set up and this is all to make it one uniform part of the cast I'll just hold the cast making sure there's no wrinkles that form up here in the patellar tendon area it's very necessary to hold the cast still why it's setting up so you don't get any wrinkles in fiberglass wrinkles in fiberglass are more difficult on the patient at a regular wrinkle and blaster and some we have to be very careful on this why we pad to me very well is because you can see it right here the best efforts of everyone you still get these little minor wrinkles and the transition between this Shore leg cast into the long leg cast why you pad well there are fibula heads right about here there crosses right through here the peroneal nerve you don't have a lot of padding and those these are probably very small wrinkles they can rub up against the skin pinch off the nerve and you can get done this in the foot that would not be a good thing you

Thanks for your comment Jamal Annala, have a nice day.
- Joan Sossamon, Staff Member

Comment by SleriegemD

ok so now we're going to learn how to put on our long leg cast here's our patient you always need one helper to hold the tight and to help you with the cast first of all we already have cut the soft stocking so that's we're going to put on first make sure you cover the fingers and just unroll it all the way up be sure to get very very proximal because as you put the cast on this will come down so make sure it goes all the way up no wrinkles so we won't hurt the soft parts there we go and now we're going to take our soft padding and do the same thing just wrap it around making sure that all the bone eminences and Co the malleolus leg tibia here around the knee the patella the condylar eminences they're all covered and we won't do any harm to the soft parts ok there we go there we go we usually do a 30 degree flexion for a long leg cast there are two most common ways to do it first do a short leg and then united with the rest of the tie or just do it in one time go all the way up and come down we're going to first do a short boot with a 15 centimeter cast and then we're going to use it 23 miracast to go all the way up so leave 10 centimeters so you can take the end of it the tip of it get it wet make sure no bubbles are coming out let it drain by itself don't squeeze it and now we're going to unwrap it make sure you are very close to the leg make sure you're not taking it off like this you can use your test to put your the foot and get the right position so we're going up going up just just below the knee and now going down again going down okay this is the time where you can take out the air bubbles and where you can do the moulding be sure to mark them malleolus and you must never forget before this gets try to make a couple of cuts so the leg won't be in danger of having arabesque Euler problems because of a compression up here so if you do it like this first boot first short boot first always do the cuts that we're going to do right now take the scissors scut anterior medial lateral and then posterior okay remember thirty degrees 90 degrees watch out for your Aquinas foot that's a natural tendency when you put this test so now ten centimeters left for the tip get it wet get all the bubbles out let it drain by itself don't squeeze it and we're going to first start working around the knee the knee is the weakest part of this cast so we need it to be very rainforest we make a couple of cross section going up and down like an eight form so we give a strong structure to this cast all the way up please if you can help me over there thank you you must watch here not to lose the 30 40 degree flexion turn around the stalking watch your rotation you must be in the same axis you can't get rotated when you're doing this so be careful that and before the cast rise we're going to put our last cast 20-centimeter cast same as the others ten centimeters left let it squeeze let it drain no squeezing and here we go from down okay remember to use your chest all the way down all the way down all the way up now cover your stocking there no back they're you before the caskets ha card where it gets right it's very important that you can mold the supracondylar area the cat will be held in place by the super condor eminences of femur both the lateral and the middle Condell so like he's doing you have to move it very nicely same as we did here ankle level and you can also go around the patella and the patellar tendon that's it for a long leg cast

Thanks SleriegemD your participation is very much appreciated
- Joan Sossamon

About the author

Joan Sossamon

I've studied molecular engineering at Utah Tech University in and I am an expert in psychopathology. I usually feel grumpy. My previous job was library consultant I held this position for 18 years, I love talking about book collecting and needlework. Huge fan of Reese Witherspoon I practice ice hockey and collect phone cards.

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