Cast Removal Procedure with Delta Cast Saw

Introduction

• Quick and clean removal using Delta Cast Saw and vacuum

Preparations

• Positioning:
  • Patient lies on their back
  • Lower leg turned out
• Equipments:
  • Delta cast saw
  • Vacuum

Cast Removal Process

Inside Lower Leg Cut

1. Start Position:
   • Begin proximally on the inside of the lower leg
2. Sawing Technique:
   • Use small sections at a time
   • Allow saw blade to cut through cast, avoiding padding and stockinette
3. Continuation:
   • Continue distally past the ankle along the foot
4. Precaution:
   • Avoid cutting over bony prominences (e.g., malleolus)
5. Redo:
   • Re-saw any incomplete sections

Outside of the Cast Cut

1. Patient Positioning:
   • Patient lies on their side
2. Cutting Line:
   • Start distally and move proximally along the outside of the cast
3. Sawing Technique:
   • Bit by bit, especially at the ankle (90-degree angle cut)
   • Saw until the middle of the foot, then move proximally

Scissors Cutting

1. Outer Saw Line:
   • Cut from top of lower leg moving down
   • Cut from distal end of the foot towards the ankle
2. Inner Saw Line:
   • Start cutting from the foot towards the ankle
   • Continue from top of the leg moving down
3. Ensure:
   • Cut through the padding and top layer of stockinette

Final Steps

1. Separation:
   • Cut along proximal edge of stockinette for separation of cast halves
2. Removal:
   • Remove top half
   • Cut through second layer of stockinette
   • Remove second half and stockinette completely

Tools

• Delta cast saw and vacuum by BSN medical

Notes

• Ensure safety to avoid cutting skin and damaging underlying tissues.