Splinting Diteriksa

Standard splint Diteriksa consists of two wooden реек which contain the emphasises, two lengthens to them which are aggregated by the face rod, under foot with a wire stirrup and rods-twist. On the approximated ends of plates wooden dowels for bond and fastenings of plates with lengthens at a back level depending on body height of the patient are fayed. Lengthens have on top ends metal stirrups by means of which they are bridged to plates. On both lengthens there are holes under dowels to рейкам. Lengthens on the inferior end are bridged among themselves by the cross-section rod which is anchored by the rotating joint to interior надставке. At centre of the cross-section rod there is a hole in diameter of 2,5 sm, and sideways - incisure’s. Under foot which bandage stack of the victim on a back surface more close up to heel has a wire framework - a stirrup which acts on both legs in the form of "eyes" in which dress надставки from both legs. From under foot which is bandaged to a sole, in a hole of the cross-section rod stretch a double cord, which twist by means of a rod - twist to frame necessary elongation of an extremity. In an exterior rail there are 2 steams of the gashes, one on top end under an emphasis, another a little below. In an interior plate it is made one steam of gashes under an emphasis.

Splint Diteriksa normally overlaps atop of clothes and footwear. It agglomerate thus. The inferior ends реек inlet into stirrups lengthens and by means of dowels which are on the ends of plates, clamp with lengthens according to body height of the victim so that the emphasis of an exterior crutch rested against an axilla, and interior in a perineum and that the inferior ends lengthens supported a sole on 10-15 see the Surface of both emphasises it is necessary to wrap cotton and to anchor its bandage. Through gashes in upper both реек of 1,5 m (or a belt), and through metal stirrups under foot - a double cord or strips of bandage in length near 1 m. pass wide bandage in length.

Having agglomerated the splint, it impose thus. The assistant retains stack of the defective extremity one hand from above for back, and another - from below, for a heel. Fix wooden подстопник to a sole of a foot (atop of footwear) gauze bandage a 8-like bandage especially strong fortifying a back department under foot as on this part to have the basic force of traction. Then along a trunk put an exterior rail and надставку from an axillary field to epicondiles outputting the inferior end lengthens through lateral "eye" of a metal stirrup under foot. An emphasis of a crutch fix under the mouse a gauze strip which is prestressly lead{carried prestressly out} through the upper pair of clefts, and fasten on an opposite brachium, that is on the able-bodied leg. An emphasis of an interior crutch fix on a perineum a gauze strip which is lead through gashes of a rail which ends throw on a femur (one in front, and another behind), pass through gashes of an exterior rail and tightly fasten. Having imposed both of a rail with надставками and having clamped them among themselves bandage an exterior rail to a trunk. The splint for the present do not fix, and initiate with elongation. Having erected both of the inferior end of the splint lengthens are output through "eyes" under foot on 10-15 sm from the last, throw the cross-section rod from the inferior end of an interior support on the acting end exterior lengthens. Elongation spend a manual expedient after an injection of anesthesia (1 ml a narcotic analgetic). Cautiously having pulled hand to stop on an axis of an extremity on itself while emphasises will not rest under the mouse and a perineum, and the length of the defective extremity will be equaled to length able-bodied. The subsequent elongation is reached by torsion of a cord which is attached to under foot by a rod which then anchor on the inferior girder of the splint. Elongation should not cause a pain suffered. For avoidance of sagging of a leg back and collimating of a standing of an easy flexion in a knee joint in a popliteal space is necessary to enclose cottons. Between rails and epicodilis, condyles of a femur and a major trochanter lay gauze small pillows then the splint proofly fix by means of bandage, imposing a spiral bandage from malleoluges up to an axillary field. It is possible to fix the splint in separate places (above malleoluges, around of an anticnemion, above a place of fracture, below a place of fracture, around of a basin). At simultaneous fracture malleoluges and bones of stack of overlaying of splint Diteriksa it is counter-indicative.

Disadvantage of splint Diteriksa is absence of a detail that immobilizes and goes on a back surface of a femur therefore there can be a sagging of spalls back. For an immobilization of a brush, a forearm, an anticnemion, stack, a knee joint use also air splints.