Skin traction in hip spica casting for femoral fractures in children.
J Orthop Sci
; 12(4): 327-33, 2007 Jul.
Article
in En
| MEDLINE
| ID: mdl-17657551
ABSTRACT
BACKGROUND:
The purpose of this study was to evaluate the skin traction in hip spica casting when applied as the standard treatment for children with femoral shaft fractures.METHODS:
A total of 207 patients with femoral fractures were treated with this method. The average age was 4.7 years. After the application of skin traction, the fracture of the femur was reduced and was placed in a hip spica cast. Traction was continued in the cast.RESULTS:
All fractures united within 4-8 weeks. No significant residual angular deformities were seen in any of the children. The only complication was refracture in two children who fell after removal of the cast. None of the children required external shoe lifts, epiphysiodesis, antibiotics, irrigation, or débridement.CONCLUSIONS:
Skin traction and a well-molded hip spica cast is a safe, reliable treatment option for isolated, closed femoral fractures in children 2-7 years of age.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Traction
/
Casts, Surgical
/
Fracture Healing
/
Femoral Fractures
Type of study:
Evaluation_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Orthop Sci
Journal subject:
ORTOPEDIA
Year:
2007
Document type:
Article
Affiliation country:
Turkey