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Hi my name is Kevin Matthews, and I'm a Northwest here with advanced towards being designs and this is my son Allen he works here is a technician there's all our ordering and lots of other stuff we're starting to do central fat we already do central fabrication for a few facilities and what I would like to do today is to demonstrate the casting procedure that we prefer if we're going to do your fabrication this is the way that I've been doing it for years this is how I get the results that I get how we get optimal outcomes is by having a good cast for to use for fabrication okay typically what I use for stockinette is a good stockinette I don't use the road cheap pen stuff two and a half inch stockinette I find works for ninety-five percent of the adult population, and so I like to have a good snug stocking at three-inch tends to wrinkle too much this molds real nicely to the foot okay I use synthetic material for casting, so I always wear gloves it is real sticky stuff now what I'm going to demonstrate here is really for any AFO, but I'm going to give marks for the turbo because the turbo is by far the most popular brace we make so for a turbo I need the anterior tibial tubercle marked on him, it's not prominent, so I just mark the insertion point of the patellar tendon and all I do is just kind of put it upside down smile, so I know that's where I want it to end for all other Amos really all you need to do is mark the fibular head or if you just want to mark the trim line if its Mueller head do a semicircle trim line just put a mark like that well let me know where the proximal Trim line these marks are all important and really the only marks that I need, I would also prefer that you mark any bony prominence and for me going back to school I'm used to marking the base of the fifth metatarsal the fifth metatarsal head first metatarsal head the particular and both male light if there's a Haaland's deformity on the posterior heel or anything else it stands out you want us to take notice of please market I always cast non-weight-bearing because I want the foot in its natural state when I cast I use one eighth inch polyethylene as my cutting strip it forms nicely it's thick enough where the blade will never go through it, and you can make it as white as you'd like for you don't want it too wide where it is towards your calf, but you know about 3/4 5/8 to 3/4 of an inch wide is really all you need for removing the cast I use a utility knife blade, and basically I dull in the center I go back on my fine sandpaper I round it, and then I sharpen it with the sandpaper which in fact dulls it so that if I do miss the plastic it'll just be a scratch unless I'm pushing real hard which I tend not to do I've been doing this 30 years I've used many techniques this is my favorite because it's the simplest I've never missed and hit someone, and you'll see when I cast that I really highlight and Mark my cutting strip, so I know exactly where it is and just make...
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