RICHIE BRACE® CASTING PHOTO SEQUENCE (all models) Neutral Suspension – Plaster Technique NOTE: Use felt pen, this is critically important to allow Patient Positioning: Supine, knee flexed 20-30 accurate placement of anatomic ankle hinge axis as well as Plaster Requirements: 3 splints, 5”x30” proper length of foot orthotic component. (folded to double thickness 5”x15”)

Foot held 90 degrees Outline medial malleolus. dorsiflexed. Outline lateral Make large dot at distal- malleolus. Make large dot bisection (tip) of at distal (tip) of malleolus. malleolus.

STEP 2 Splint #2 Place around APPLY PLASTER heel & rear foot.

Splint#1 Folded around back of ankle & heel, around malleoli – leave front of ankle uncovered.

Splint #3 Place over tips STEP 3 of toes and cover plantar POSITION FOOT forefoot. Grip 4th & 5th toes. Lift foot – load midtarsal joint. Position Subtalar joint in neutral. Push down gently on top of 1st Metatarsal.

STEP 4 Check cast to assure REMOVE CAST transfer of skin markings.

Expand anterior ankle and Do not ship cast until dorsal foot portions of plaster is fully dry and cast. Pull off cast in distal- cured (at least 8 hours plantar direction. after casting).