Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Jul 5:12:100248.
doi: 10.1016/j.jposna.2025.100248. eCollection 2025 Aug.

Lower Extremity Splint Application

Affiliations
Review

Lower Extremity Splint Application

Wasim Shihab et al. J Pediatr Soc North Am. .

Abstract

In pediatric orthopaedic surgery, the choice between splinting and casting plays a crucial role in early fracture management, postoperative care, and soft tissue injury stabilization. Impeccable application technique ensures that the immobilization serves its purpose without causing additional injury.Splints provide crucial advantages over casts in acute situations, particularly in cases with significant swelling, evolving injuries, soft tissue damage, or the necessity for frequent reassessment. Unlike circumferential casts, which can heighten the risk of compartment syndrome or pressure-related complications, splints deliver stability while accommodating soft tissue expansion and preserving structural support. Their adjustable, removable, and reapplicable nature makes splints a preferred choice during the early stages of fracture healing and postoperative recovery, particularly for younger patients with high remodeling potential.The Bulky Jones dressing is an essential tool in orthopaedics, providing compression, controlling edema, and offering mild immobilization. This enhances patient comfort and promotes tissue healing.

Key concepts: (1)Splints provide effective preoperative stabilization, definitive treatment of stable fractures, and management of soft tissue injuries while allowing for swelling accommodation and periodic reassessment.(2)Splinting minimizes complications associated with circumferential casting.(3)Proper technique and padding are essential for effective splint application.

Keywords: Bulky Jones; Long leg splint; Short leg splint.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References

    1. Thompson S.R. 2nd ed. Elsevier; Philadelphia, Pennsylvania: 2023. Manual of splinting and casting. [2023] ©2024.
    1. Beaty James H., Kasser James R., editors. Rockwood and Wilkins; fractures in children. 6th ed. Lippincott Williams & Wilkins; Philadelphia: 2006. [2006] ©2006.
    1. Boyd A.S., Benjamin H.J., Asplund C. Principles of casting and splinting. Am Fam Physician. 2009;79(1):16–22. - PubMed
    1. Doski J., Shaikhan R. Robert Jones bandage versus cast in the treatment of distal radius fracture in children: a randomized controlled trial. Chin J Traumatol (Engl Ed) 2023;26(4):217–222. doi: 10.1016/j.cjtee.2023.04.001. - DOI - PMC - PubMed
    1. Campbells Operative Orthopaedics . Elsevier; Philadelphia, PA: 2020. Fourteenth edition. 2020. Elsevier, [2021] ©2021.

LinkOut - more resources