Immobilizing( immobile) dressings are used to achieve immobility of damaged bones in fractures. When transporting the victims to the clinic, transport immobilization is used, for this purpose, tires are made from improvised materials: branches, boards, bundles of straw.
Gypsum dressings for fractures
For therapeutic immobilization, plaster dressings or their synthetic analogs are used. Gypsum dressing allows the necessary fixation of the injured limb, but it is quite uncomfortable. And, despite the obvious advantages of its application, such as low cost and ease of manufacturing, it should be noted and a number of its significant shortcomings.
Under the influence of water, this dressing breaks down quite quickly, it prevents the injured person from taking full-fledged water procedures for a long time, it has a high mass, due to the sticking of the hair, the itch is constantly felt, which is not easy to clean, poor ventilation increases the risks of scuffs and pressure sores,to rapid destruction often on the skin appear bloody bubbles, called flictenami.
Recently, ordinary gypsum has been successfully replaced with hard synthetic immobilizing bandages called Scotchkast, also called artificial gypsum.
Plastic gypsum - skotchkast
Figure 1. SKODCHKAST
Figure 2. SOFTKAST
Convenience of plastic gypsum
The density of the material SKOCHCAST is four to five times less than that of traditional gypsum. The extraordinary strength of the SKOTCHKAST ease distinguishes it and makes it incomparably more comfortable for patients. SKOTCHKAST is non-toxic and is not an allergen. It easily passes the air, which completely solves the problem of itching and maceration. Synthetic bandages are not afraid of moisture, so the patient is comfortable to monitor their hygiene.
Deficiencies of the Scotchstock
The number of drawbacks is sometimes attributed to muscle atrophy during prolonged wearing.
The comparatively large experience of application of multi-colored dressings SKOCHCHAST confirmed its reliability, safety and convenience of use.
There is also a new modern means of immobilization - SOFTKAST for such an innovative method of treatment of fractures, as functional immobilization. Bint SOFTKAST, this is a material from fiberglass yarns, which are impregnated with water-activated synthetic polymeric material.
This bandage supports a semi-rigid and flexible state, providing elastic support for the creation of orthopedic structures used in the treatment of fractures and other injuries.
The dressing is so durable that it can be used many times. No muscle atrophy of the injured limb was observed when it was used. What is very important - there is the possibility of remodeling the bandage with changes in the size of the edema of the injured limb. Bint SOFTKAST is very easy to remove, it can be unwound or cut using special scissors.
It should be noted that these types of immobilizing dressings are not always interchangeable and the right choice should be made by a doctor.
Figure 3. Turbocast
The most recent development is the low-temperature thermoplastic TURBOKAST-possessing shape memory for external immobilization. It becomes ductile when heated in the temperature range from 60 ° C to 100 ° C.
Such properties as light weight, plastic memory and compliance in the case of remodeling, full suitability for repeated radiographs without material removal and reduction of radiation dose, preservation of form and properties during the entire period of application, non-toxicity and absence of allergic reactions, lack of reaction with aqueousenvironment, excellent ventilation allow you to recommend it for mass healthy use. To the listed properties it is necessary to add the presence of fixing devices, which allow you to remove and put on the product yourself, besides the bandage does not stick to the hairline and prevents the appearance of muscle atrophy.
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