How To Apply A Slipper Cast: A Step-by-Step Guide

Authored by Leland Jaffe DPM, FACFAS – Podiatric Foot and Ankle Surgeon – Updated 12-29-23

Introduction to Slipper Cast Application

A slipper cast is a great option for protection and immobilization following midfoot/forefoot surgery or following trauma to the foot. Patients often feel comfortable in this cast as they retain the range of motion of their ankle joint. This post will provide a step-by-step guide on how to apply a slipper cast to the foot.

https://lelandjaffedpm.com/educational-videos-2/

Materials Needed for Your Slipper Cast

Cast padding (4-inch webril) – https://amzn.to/40h4aY1
2 inch fiberglass rollls x 2 – https://amzn.to/40h0vJL
Stockinette – https://amzn.to/3SkBCuY
Surgilube – https://amzn.to/45VdfXI

Step 1- Application of the Stockinette

Apply a 3 or 4-inch stockinette from the level distal to the toes proximally past the ankle.

Step 2- Application of Cast Padding

Apply webril/cast padding starting distally past the digits
Apply 3 layers of webril around the posterior ankle distally past the digits
Remove the excess webril that extends plantar to the foot
Pad the arch with extra webril if desired

Step 3- Application of 2-inch rolls of fiberglass x2

Apply the first 2-inch fiberglass roll from the level of the midfoot distally toward the digits
The 2nd 1/2 of the first roll will extend around the posterior heel and then back towards the midfoot
Fold the stockinette proximally and distally over the 1st roll of fiberglass
The 2nd 2-inch fiberglass roll will complete the coverage at the plantar foot by overlapping each layer 50%
Once all the irregularities in the fiberglass are smoothed, the cast can be gently molded to ensure it fits comfortably to the patient’s foot
Allow the cast to dry

For a full demonstration of how to apply a slipper cast, please click on the following link: https://www.youtube.com/watch?v=9qYP1Ynp87o&t=73s

Conclusion on How To Apply a Slipper Cast

By following these step-by-step instructions, you can help ensure a smooth and successful application of a slipper cast to the foot. If you have any questions, please comment below or connect with me via email.