Casting, Bracing & Patient Comfort

PURPOSE

Cast-room instruments, casting soft goods, post-op bracing / DME, and the patient-comfort program for the OR and clinic. Stock both hospital and clinic. Catalog numbers and par levels are maintained in the Supply Catalog.

CAST-ROOM INSTRUMENTS

• Mobile OR casting cart — a large, pushable multi-drawer rolling cart, fully stocked with casting supplies, that Dr. Wey can bring to the table in the OR.
• Oscillating cast saw — hospital and clinic.
• Cast spreader / splitter (bivalves the cast) — BSN Medical stainless cast spreader, Henning style.
• Lister bandage scissors — several, both sizes (7.25 in and 5.5 in).
• Smaller cast / fiberglass trimming scissors — Fiskars Razor Edge orthopaedic or Super-Cut Lister (cut stockinette, padding, and fiberglass edges cleanly).

CASTING SOFT GOODS & SKIN CLOSURE

• SYLKE silk-fibroin skin closure — preferred over Steri-Strips when possible (sterile silk mesh strips, up to 14-day wear). Stock in OR, cast room, and clinic.
• Moleskin — self-adhesive, great as padding under casts and over edges. Medline CURAD adhesive moleskin roll, 9 in x 4 yd, latex-free (NON5148). Stock heavily in clinic and cast room.
• Reston self-adhering foam over bony prominences · waffle Specialist cotton-blend cast padding (2 / 3 / 4 / 6 in; stock 6 in for adult patients) · fiberglass color tape (kid-friendly).
• Waterproof cast lining — 3 in and 4 in, at least for clinic (3M Scotchcast Wet or Dry WDP3 / WDP4) so kids can shower / swim. See Supply Catalog for full casting stock.

BRACING / DME — CLINIC STOCK (STOCK PEDIATRIC AND LARGER/ADULT SIZES FOR ADOLESCENTS)

• Wrist — stock several options. Breg Pediatric Apollo Wrist (peds/adolescent; +spica version) → Breg Apollo Universal (older/adult); Hely Weber Tiny Titan Wrist #450TINY (peds buckle fx) → Titan Wrist #450; Exos Wrist Brace with BOA (dedicated peds short-arm + adult; radiolucent, waterproof); plus an RCAI/FLA youth wrist splint.
• Thumb spica — Hely Weber Tiny Titan Thumb #455TINY (peds; PDAC L3807/L3809, specify R/L) → Titan Thumb #455 short / #459 long (XS-peds / Universal / XL). Alt: Exos Thumb Spica (peds + adult).
• Hinged elbow — Breg Wee Bow (peds hinged elbow, ROM 10–110°, telescoping) → Breg T Scope Elbow Premier (older/adult; stable elbow / distal humerus / proximal radius-ulna fx, ROM −10–120°).
• Ulnar gutter / short-arm — Exos Boxer's / Ulnar Gutter Brace (4th/5th MC; BOA, thermoformable, radiolucent, waterproof). Exos Short Arm Fracture Brace, Open Thumb (peds + adult XS–XL).
• Hinged knee — Breg Wee ROM peds post-op knee (telescoping 16–22 in, ROM −10–110°, universal).
• Slings — Breg Pediatric Sling 2 (peds); youth ProCare / DJO slings for larger kids.
• Cervical collars — Aspen Pediatric Collar (5 sizes, infant–peds; item 983102) → Aspen Vista (adjustable, older kids / adolescents / adult).
• CAM walker boots — Breg Wee-Walker (Vectra Wee Walker), S/M/L, is the preferred peds CAM boot; adult Vectra walker for adolescents.
• Humeral fracture brace — Wheaton Humerus Fracture Brace, youth/adolescent sizes (e.g., HFB-M = Youth Medium), latex-free. Alt: Breg Aligner PHX / Exos Humeral Fracture Brace.
• Cast shoes — DARCO Pediatric SlimLine Cast Boot (S/M/L; fits over fiberglass casts & bandages); adult Darco cast/post-op shoe for older kids.
• Knee immobilizers — pediatric (ProCare Pediatric Knee Immobilizer 12 in, S/M/L). Pediatric crutches — youth/child aluminum, in pairs.
• Pavlik harness (DDH) — several sizes. Wheaton Pavlik Harness: Premie/XS, S, M, L, XL (chest circ 12–21+ in). Stock the full range in clinic so infants can be fitted at the visit.
• Exsanguinating tourniquet — HemaClear, all sizes. Sterile roll-on silicone-ring; stock the full color-coded range (Small → XXL, ~14–100 cm) so any limb from infant to adolescent is covered.

PATIENT COMFORT

• Comfort toy for every child going to surgery — a small plush bear / stuffed animal handed out pre-op (the “teddy-bear effect”). SmileMakers patient plush bears (bulk, safety-tested, all ages). Keep a stocked bin in pre-op and clinic.