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Modified Gumby Cast Padding Technique (Visit this link)
Casting Technique Jan 2006 THE MODIFIED GUMBY TECHNIQUE Charles Barocas, ROT, CO Cut a 6- to 8-inch length of stockinette depending on the size of your patient. Cut a 2- to 3-inch slit down a side of the stockinette. Start the cut 1 inch from an end of the stockinette. Place this piece of stockinette on the patient. The four fingers and the hand go into the stockinette and out the 2- to 3-inch cut. The thumb stays inside the uncut portion of the stockinette. A 2-inch stockinette is OK for most patients. Just make sure the stockinette is not too tight around the hand. Place your regular stockinette on the patient. Fold down the stockinette covering the thumb to the distal PIP. You could also apply your regular stockinette first and then apply the modified Gumby. No set rule here. Pad the arm as you usually do. Then fold the thumb piece down again toward the base of the thumb, covering the padding. The second fold should go as far down the palm and posterior aspect of the hand as possible. Cast the arm as you usually do, being sure to incorporate the base of the Gumby under the casting material. The stockinette now covers the padding at the base of the thumb. Patients can no longer pick the padding out
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Added: Thu Feb 02 2006
