Materials

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

Instructions

Landmarks

Posterior long leg

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

Stirrup

• 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.

Stirrup

• 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.

Application

• 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.