What is a long leg cast? A long leg cast runs from the thigh to the foot. It is commonly used for fractures of the thigh, knee or calf, but can also be used for dislocations of the knee or after surgery to the leg and knee area. What is a short leg cast? A short leg cast is applied from below the knee to the foot. It is used for leg fractures, severe ankle sprains or fractures. It can also be used to ensure that leg and foot muscles heal in the correct position after muscle strengthening surgery. Principles of cast care: Keep the cast clean and dry; Check the cast for cracks or breaks; Do not scratch the skin deep inside the cast; Use a hair dryer to blow air into the cast while it is cool and to cool hot, scratchy skin. Never blow warm or hot gases into the cast; do not use medicinal powders or ointments in the cast; cover the cast while eating to prevent liquids from getting into the cast; prevent small toys or objects from being placed in the cast; and raise the cast above heart level to prevent swelling. When to take your child to the doctor: Fever; Progressively increasing pain; Progressively swelling above and below the cast; Fluid draining from the cast or a bad smell; Cold toes or chills. Long-term observation of children with clubfoot reveals the following: Some children with clubfoot can be successfully corrected with continued habitual massage and molding. Others may require surgery. As the child grows and develops, the deformity may reappear, and these children may need surgery again.