Lower Limb Immobilization: Techniques and Considerations

Introduction

Lower limb immobilization is a crucial technique used in cases of potential fractures, dislocations, or injuries to the lower extremities, from the pelvis down to the toes.

Preparation and Equipment

• Three Triangular Dressings: Required for splinting and stabilization.
• Additional Support: Consider using materials to support hollows between the legs for added stability.
• Extra Rubber Glove: Useful for securing the feet and maintaining alignment.

Immobilization Points

Immobilization involves securing specific points to minimize movement and provide stability:

• Above the Knee: Stabilize the femur and neck of femur with a triangular bandage.
• Below the Knee: Secure the tibia, fibula, and patella.
• Feet: Apply a figure-of-eight bandage to keep the feet aligned and together.

Procedure

1. Positioning: Place the good leg next to the injured leg to minimize movement of the affected limb.
2. Supporting Hollows: Fill any gaps between the legs with padding for stability.
3. Securing Feet: Place a rubber glove over the toes to keep the feet together.
4. Bandaging: Roll up triangular bandages to form straps and secure them under and above the knees, as well as around the ankles.
5. Figure-of-Eight: Apply a figure-of-eight bandage around the feet to maintain alignment and stability.

Considerations

• Do not tie bandages over the fracture or injury site.
• Adjust technique based on the specific injury; avoid placing pressure on fractured areas.
• Ensure proper stabilization to prevent further damage during patient movement.

Lower limb immobilization provides essential support and stability, facilitating safe transportation of injured individuals.