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Calcimator

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.

Inputs

in

Results

Device type code

2

Device size (0-5)2
Padding layers2
Weight-bearing status (0-4)0
Immobilization duration (weeks)6
First cast check (days)7
Device NameShort arm cast (below-elbow)
Size NameMedium
Region NameWrist
How to Use This Calculator
  1. Select the Body region (Finger, Wrist, Forearm, Elbow, Ankle, Lower leg, Knee, or Foot).
  2. 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+).
  3. Indicate whether the injury is Post-surgical (No — primary immobilization, or Yes — post-operative protection after ORIF) and enter expected Immobilization weeks.
  4. Measure the Limb circumference in cm at the widest point of the affected limb for device sizing.
  5. 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

  1. Identify Input Parameters
    4 parameters
    Body region = 1, Fracture severity = 1, Age category = 2, Post-surgical? = 0 = 6 input(s) provided
  2. Calculate Device type code
    2 = 2
  3. Calculate Device size
    2 = 2
  4. Calculate Padding layers
    2 = 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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