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.

Subscribe to our mailing list

* indicates required
Select your preferred newsletters

The protection of your personal data is our priority. Thank you for subscribing to one of our newsletters. We would like to invite you to share some personal data with us. The protection of this data is our priority.

By submitting this form, I agree to the processing of my data to receive personal messages by mail.

You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at welcome@orfit.com. We will treat your information with respect. For more information about our privacy practices please visit our website. By clicking below, you agree that we may process your information in accordance with these terms.

We use MailChimp as our marketing automation platform. By clicking below to submit this form, you acknowledge that the information you provide will be transferred to MailChimp for processing in accordance with their Privacy Policy and Terms.

We've selected some similar articles for you

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

12 Tips and Tricks for Working with Orficast

Popular Orficast questions answered!

Here are some questions and answers that we get asked all of the time about using this unique thermoplastic taping material, Orficast. How to remove an orthosis, how to apply the velcro, can the orthosis get wet, and so on. If you have your own tip to share about the Orficast thermoplastic tape, let us know!
Read more

Orthotic Options for Stiff and Limited Wrist Motion

The ‘Dinosaur Orthosis’: An Orthosis for Static Progressive or Dynamic Wrist Flexion and Extension. Recently the Practice Forum of The Journal of Hand Therapy featured the orthotic design, the “Dinosaur” orthosis. This is a static progressive or dynamic orthosis for patients with limitations in wrist flexion or extension.
Read more