560 CHAPTER 59
There are several ways to straighten contractures that let the child continue to move
about. These include:
1. a series of plaster casts
2. adjustable braces
3. elastic stretching aids of bamboo or inner tube
4. adhesive strapping
The advantages and disadvantages of the first 3 ways are discussed on p. 85.
It is important that you read this before deciding which one to use for a
particular child. The 4th method (strapping) is used mostly on clubbed feet of
newborn babies (see p. 565).
HOW TO CORRECT CONTRACTURES USING PLASTER CASTS
The example we give here is for the
knee, but the basic methods are the same
for contractures in ankles, feet, elbows,
and wrists.
Casting the leg
FIRST WEEK
1. Put stockinette
or a close fitting
cotton stocking
on the leg. Avoid
wrinkles.
3. To protect the
knee, it helps
to put a soft
sponge or piece
of sponge rubber
over the knee.
Correcting contractures with casts. (PROJIMO)
5. Put a plaster
cast on the
leg. Be sure it
reaches high
up the thigh.
7. Holding the calf
below the knee,
gently straighten
the leg as far as it
will go, without
using force.
2. Put cast padding
or cotton roll
(or wild kapok)
evenly around
the leg.
4. Put extra padding
around the thigh,
the knee, and the
ankle.
Disabled village Children
6. Put lengthwise
strips of
plaster for
reinforcement
over the knee.
8. Position the foot
at a right angle
(or as near to it as
you can without
using force).