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Speaking of Splints

To the Editor:

I am writing in response to the article "Air Splint in Preprosthetic Rehabilitation of Lower Extremity Amputated Limbs," by Rausch and Khalili, published in the June 1985 issue of PHYSICAL THERAPY. The authors presented a clinically effective protocol for managing postoperative edema and facilitating early ambulation in lower extremity amputees. I should like to comment on a number of points and share the protocol we use at Medical College of Virginia Hospitals.

First, a stated advantage of the air splint is there is no danger of distal edema because of the uniform pressure exerted by the air splint. We do not find that total contact around the distal residual limb occurs with the air splint. Therefore, it is helpful to wrap the residual limb with ace bandages or a stump shrinker before donning the air splint. A stockinette can be used over the thigh to absorb perspiration.

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Related Article

Air Splint in Preprosthetic Rehabilitation of Lower Extremity Amputated Limbs: A Clinical Report

Richard W Rausch and A A Khalili
Physical Therapy 1985 65: 912-914. [Abstract] [PDF]