Cast/Brace Selection Calculator
Immobilization type from fracture pattern and location.
About this calculator
Choosing between a cast, a splint, a walking boot, or a hinged brace follows common orthopedic practice patterns built around where the fracture is, how displaced it is, and whether surgery has already stabilized it. This calculator's device recommendation is read first from the body region -- upper-extremity injuries (finger through elbow) and lower-extremity injuries (ankle through foot) follow different device families entirely -- then refined by fracture severity and whether the injury is post-surgical, since hardware from an ORIF (open reduction internal fixation) procedure already provides internal stability that a primary, non-surgical fracture doesn't have. One adjustment applies across regions: elderly patients with a stable, non-post-surgical injury are shifted toward removable devices where clinically appropriate, trading some of a rigid cast's fixation for easier skin checks and a lower fall risk from a bulky, non-removable device.
Device SIZE, by contrast, is calculated independently from limb circumference alone, matched against general XS-XXL bands, so a small-framed adult and a large-framed adolescent needing the identical device type can still need very different sizes. Padding recommendations scale up for the youngest and oldest age categories and for more severely displaced fractures, reflecting thinner, more fragile skin at the extremes of age and more expected post-reduction swelling in significantly displaced injuries.
Medical Disclaimer
This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.
Inputs
Results
Device type code
2
How to Use This Calculator
- Select the Body region (Finger, Wrist, Forearm, Elbow, Ankle, Lower leg, Knee, or Foot).
- Set Fracture severity (Stable / hairline, Non-displaced, Mildly displaced, or Significantly displaced) and Age category (Child under 12, Adolescent 12-17, Adult 18-64, or Elderly 65+).
- Indicate whether the injury is Post-surgical (No — primary immobilization, or Yes — post-operative protection after ORIF) and enter expected Immobilization weeks.
- Measure the Limb circumference in cm at the widest point of the affected limb for device sizing.
- Review the recommended Device type, Size (XS–XXL), Padding layers, Weight-bearing status, and the timing for the first cast check.
What each input means
- Body region
- Body region requiring immobilization.
- Fracture severity
- Degree of fracture displacement, generally read from the imaging report.
- Age category
- Patient age category — affects padding recommendations and device choice for skin fragility and fall risk.
- Post-surgical?
- Whether this immobilization follows open reduction internal fixation (ORIF) surgery.
- Immobilization (weeks)
- Expected duration of immobilization in weeks.
- Limb circumference
- Measure at widest point of the affected limb segment for device sizing.
What each result means
- Device type code
- Recommended immobilization device type (see notes for description).
- Device size (0-5)
- 0=XS, 1=S, 2=M, 3=L, 4=XL, 5=XXL
- Padding layers
- Recommended number of padding (stockinette + webril) layers.
- Weight-bearing status (0-4)
- 0=Full, 1=As tolerated, 2=Partial, 3=Toe-touch, 4=Non-weight-bearing
- Immobilization duration (weeks)
- Duration of immobilization.
- First cast check (days)
- Recommended days until first follow-up cast/device check.
How this is calculated
Worked example, using the default values
- Identify Input Parameters4 parametersBody region = 1, Fracture severity = 1, Age category = 2, Post-surgical? = 0 = 6 input(s) provided
- Calculate Device type code2 = 2
- Calculate Device size2 = 2
- Calculate Padding layers2 = 2
Engine last updated . Checked against 3 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.
Frequently Asked Questions
Does limb circumference affect which device type is recommended?
No -- device type comes from body region, fracture severity, age category, and whether the injury is post-surgical. Limb circumference feeds only the device SIZE recommendation (XS through XXL), matching the measured circumference to a size band independently of which device family was chosen.
Why might an elderly patient get a removable splint instead of a cast for the same fracture?
This calculator shifts elderly patients toward removable devices -- a splint instead of a cast, or a walking boot instead of a non-removable leg cast -- specifically when the fracture is stable and not post-surgical, prioritizing easier skin monitoring and reduced fall risk over the marginal fixation advantage a rigid, non-removable device offers in a low-severity injury.
Does the expected immobilization duration change which device is recommended?
No. This calculator's device type and sizing outputs come from body region, severity, age, post-surgical status, and limb circumference -- immobilization weeks is an independent estimate reported alongside those results for scheduling purposes, not an input to the device recommendation itself.
Why does a post-surgical fracture sometimes get a different device than the same fracture treated non-surgically?
Because ORIF hardware already provides internal fixation that a non-surgical fracture doesn't have. For some regions, like the wrist, that lets this calculator recommend a removable splint for protection and skin access rather than the more rigid, non-removable cast used for a comparable fracture managed without surgery.
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