the removal of a cast is quick and clean with a delta cast saw and vacuum define the position of the limb before the start of application with the patient lying on his or her back the lower leg turned out switch on and pick up the cast saw carefully begin soaring the cast starting proximally on the inside of the lower leg do a small section at a time carefully letting the saw blade cut through the cast but not the padding and stockinette continue going distally past the ankle along the foot be careful not to cut over bony prominences such as the malleolus redo any parts that may not have come apart Oh with the patient now lying on his or her side start cutting a line along the outside of the cast start distally moving proximally carefully sawed into the cast bit by bit at the ankle saw a cut at a 90-degree angle saw until the middle of the foot then start at the distal end moving proximately with the scissors cut along the outside saw line first from the top of the lower leg moving down then from the distal end of the foot towards the ankle now cut along the inside saw line starting at the foot towards the ankle then cut from the top of the leg moving downwards ensure you cut through the padding and top layer of the stockinette cut along the proximal edge of the stockinette to allow for separation of the two cast halves remove top half cut through the second there the stockinette remove second half of a cast and the stockinette Delta casts or and vacuum by BSN medical