• Stockinette
  • Splinting material (padded fiberglass or 12-15 layers of plaster)
  • Padding
  • Elastic bandaging



Posterior long leg

  • Proximal: Proximal femur
  • Distal: Plantar surface of the metatarsal heads


  • 3–4 cm below the level of fibular head on both the medial and lateral leg.

Splint Position

Posterior Long Leg

  • Extends down posterior leg, under the knee, over the heel and ends at the metatarsal heads.
  • Toes remain free.


  • Start on lateral leg just below the fibular head.
  • Wrap under the plantar surface of foot/calcaneus.
  • End on medial side at same level as the lateral side.
  • Patient is supine.
  • Splint applied with knee in 5-15º flexion (place a pillow under the knee to support at this angle) and ankle at 90º or in slight plantar flexion.


  • Apply padding along the entire leg, with special attention to padding over the calcaneus and medial and lateral malleolus.
  • Apply posterior long leg splint first and secure with elastic bandage.
  • Apply stirrup over the posterior slab and secure with elastic bandage.
  • Reassess pulses, motor and sensation.