Attaching Interface Mold to Splint Surface,
Clinical Pearl No. 7 – November 2009

HandLab Clinical Pearls

November 2009                      No. 7

 ATTACHING INTERFACE MOLD TO SPLINT SURFACE

 

Often the ideal way to provide total contact and positive pressure to an immature scar is to place an interface mold between the splinting material and the skin surface. The interface mold is usually made of silicone which hardens to a firm shape following the addition of a catalyst. The smooth surface of the splint does not allow the smooth silicone to adhere and keeping the inter – face mold in place can be difficult. Glue is not effective with these slick surfaces.

A simple solution to this problem is:

1. Mold the splint base to fit the patient contour

2. Punch holes in the area of the splint which lies over the area of the interface mold.Nov2009-No7

Holes are punched in molded splint base.

3. Mix the catalyst with the interface mold material; apply to the skin surface and immediately apply the splint.

4. Gently but firmly press the molded splint down until the silicone material “oozes” out of the holes and there is total contact of skin, interface mold, and splint surface.

5. Pinch off and discard excess material that has flowed out of the hole. Leave a small molded mound larger than the hole on the exterior of the material.

6. The interface material can be easily torn out of the holes and replaced with a new one if the changes of the skin surface require a new mold.Nov2009-No7-1

Interface mold material is placed between the mold and the splint and then allowed to “ooze” out of the holes.

 

Download Clinical Pearl No. 7, Attaching Interface Mold to Splint Surface, November 2009

 

ADDITIONAL SUGGESTED READING

Clinical Pearl No. 30 – Should all Orthoses be 2/3 the Length of the Forearm?

Clinical Pearl No. 26 – Use of a Relative Motion Orthosis for Regaining PIP Joint Flexion or Extension

Clinical Pearl No. 14 – How Long Should I Serial Cast a Finger?

Clinical Pearl No. 13 – Why I Dislike Ulnar/Radial Gutter Splints!!

Clinical Pearl No. 12 – Why I Avoid Passive Flexion of the DIP Joint

Clinical Pearl No. 5 – “Splint” Suggestion for the Hypermobile Wrist

Clinical Pearl No. 4 – Leather, The Forgotten Strapping Material

Clinical Pearl No. 3 – Making the Most of Mallet Finger Splinting

Clinical Pearl No. 2 – Pre-Operative Serial Casting for Dupuytren’s Contracture Involving the PIP Joint

Book Chapter – Principals of Splinting and Splint Prescription, Surgery of the Hand and Upper Extremity – 1996

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Disclaimer: HandLab Clinical Pearls are intended to be an informal sharing of practical clinical ideas; not formal evidence-based conclusions of fact.