Splinting with Orficast Thermoplastic Tape: Orficast alternatives to thermoplastic splints of the hand and finger (made by Orfit distributor Otto Bock Australia)

Orficast Ottobock

The information below has been created by Damien Silvester and Amanda MacKillop, hand therapy specialists at Otto Bock Australia, our distributor in Australia. They use it as a handout suggesting Orficast alternatives to thermoplastic splints of the hand and finger. 

Relative motion bar/yolk splint

  • 3 cm Orficast
  • 30-35 cm length of Orficast
  • Increase overlap of the Orficast to increase rigidity of the splint.

Orficast Ottobock2
Clinical applications: Relative motion bar for extensor tendon repair, as per Wendell Merritt tendon repair protocol.

Mallet finger splint

  • 3 cm Orficast
  • Measure length required by placing the Orficast at the volar PIP joint, run it along the finger to the dorsal PIP joint. Double the length and fold in half for extra strength
  • Dry heat to attach velcro and loop.

Orficast Ottobock3
Clinical application: for bony or tendinous mallet finger injury, post operative or conservatively managed.

PIP extension blocking splint

  • 6 cm Orficast
  • Measure circumference of finger to obtain length. Double the length for extra strength  
  • Wrap doubled Orficast around finger, pinch edges along the lateral border of the finger to bond, and trim to shape.

Orficast Ottobock4
Clinical applications: PIP joint volar plate injuries where blocking full extension is required; correcting swan neck deformities.

Hand based opponens splint

  • 6 cm Orficast
  • 40-50 cm length to Orficast
  • Increase overlap of the Orficast to increase rigidity of the splint.
  • Dip to roll edges of splint.
  • Dry heat to attach velcro and loop.

Orficast Ottobock5
Clinical applications: 1st CMC joint osteoarthritis, proximal phalanx fracture, MCP joint collateral ligament injury, any injury to the thumb requiring immobilization of the CMC and MCP joints.

Finger cylinder splint

  • 3 cm Orficast
  • 35 cm length
  • 50% overlap, applying distally to proximally along the finger.

Orficast Ottobock6
Clinical applications: serial casting for PIP joint extension to correct fixed flexion deformity, immobilization of the PIP joint.

Finger buddy splint

  • 3cm Orficast
  • 20cm length
  • Increase overlap of the Orficast to increase the rigidity of splint.
  • Dry heat to further seal edges, and trim to shape allowing for IP joints to flex completely.

Orficast Ottobock7
Clinical applications: protect MCP or PIP joint collateral ligaments from lateral stress, rigidity of this buddy splint also assists with mobilizing the injured finger when buddied to an uninjured finger.


You can find all information about Orficast on our website.

If you have a question or comment, please post it in the Orfit Splinting & Rehabilitation Group on Facebook, or send an email to welcome@orfit.com.

We've selected some similar articles for you

Ideas for Orthoses with Orficast – 22 Orficast Instructional Movies

What is Orficast Thermoplastic Tape? Orficast is an innovative casting and splinting tape that is applied directly to the patient after heat activation. Orficast is available in both Blue and Black colors, in 3 cm and 6 cm widths.  The material has…
Read more

Counterforce Strap Orthoses for the Treatment of Tennis Elbow and Golfer’s Elbow

‘Tennis Elbow’ or ‘Lateral Epicondylitis’ refers to a common complaint of pain and discomfort in the lateral elbow and upper forearm, and tenderness of the forearm extensor muscles. In this condition, there is a degeneration of the origin of these muscles, weakening this area. This is thought to be an overuse injury and it can have a major impact on one’s activities of daily living.
Read more

The Peripheral Nerves: A Quick Assessment of Nerve Functioning or “Rock, Paper, Scissors!”

Here is a creative method to assess nerve functioning in the hand and some ideas for orthotic interventions. Using the universally known children’s game of “Rock, Paper, Scissors”, one can assess the nerve functioning of the three peripheral nerves of the upper extremity. 1) Median Nerve:…
Read more