Manual trans-femoral casting procedure

Material preparation
Stump measurement sheet
15 cm POP bandage 4-6 roll
Measurement tape
Indelible pencil
Stockinet for residual limb and pelvis
parting agent-vaseline
plaster cutting scissor
waterpot


procedure
Cover the stump with vaseline
Place one stockinet over the residual limb/pelvis and one over the stump
( if possible elastic, TUBIGRIP )

Marking
Marks on greater trochanter and along the femur
Marks along the femur for horizontal measurements all 5-7 cm
Take the circular measurements:
most important:
1. Proximal circumference
2. Centre muscle circumference
3. Distal circumference before the stump
endProcedure
Cover the stump with 4 layers of POP Bandage

Use the classic cast grip for
quadrilateral socket design:
1. One hand horizontal under the tuber
2. One hand along the frontal scarpa
triangle
3. Both hands build an angle towards the
medial side
4. The stump is in normal adduction and
flexion
5. Check shape changes under muscle
contraction

Lateral view and frontal viewCut the rope and stockine
Remove the negative cast from patient Modification of the Negative Cast ( Check Socket )
Prepare the proximal trim line of the negative model
Reduce the volume of the negative model along the medial, proximal stump entry part about
2-3 cmThe modified check socket


Reinforced the socket


Check the socket on the patient and correct the volume if necessary
Perfect volume means that the patient can fix the socket with his muscle contraction


Apply lateral and frontal a plumb line on the check socket in normal position

Preparation of the Positive Model
Isolate the check socket with vaseline
Place the check socket in a neutral and functional position in a sand box
Extend the model with a POP-bandage
Place a iron pipe in neutral functional position in the model


Do you want to know more about alignment ?

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