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5Cast splitting

Cast immobilization - Cast splitting

When required, the plaster should be split along the entire length.

Once the cast is hardened, mark it, then split using an oscillating saw, a hand saw, or a sharp plaster knife (1).

Take great care to avoid injury to the underlying skin.

Widen the split with a cast spreader. Then divide the underlying padding with scissors (2) and remove the protective strip to expose the skin.

Apply a crêpe bandage to protect the split cast.

When the swelling has subsided (after 5-7 days), complete the cast with a single POP bandage.