Results after spica cast immobilization following hip reconstruction in 95 cases: is there a need for alternative techniques?

Statins: is there a need for alternative or adjunctive therapy?

Is there a need for reconstruction after excision of the distal ulna for giant-cell tumour?

Giant cell tumour rarely involves the distal ulna; the literature has sporadic cases reported, and the need for reconstruction after distal ulnar resection remains controversial. The uncommon presentation often leads to diagnostic delays, and some of the cases reported have attained large sizes prior to diagnosis, leading' to procedures which range from soft tissue stabilization to bone graft r...

A digital approach for design and fabrication by rapid prototyping of orthosis for developmental dysplasia of the hip

Introduction: Immobilization in a hip spica cast is required in surgical and nonsurgical treatments for children aged three months to four years diagnosed with developmental dysplasia of the hip. Skin complications are associated with the use of the spica cast in 30% of the cases. This research explores the use of photogrammetry and rapid prototyping for the production of a lighter, shower frie...

Displaced fractures of the hip in children. Management by early operation and immobilisation in a hip spica cast.

Fractures of the hip in children have been associated with a very high rate of serious complications including avascular necrosis (up to 47%) and coxa vara (up to 32%). Over a period of 20 years, we have treated displaced fractures by early anatomical reduction, internal fixation and immobilisation in a spica cast to try to reduce these complications. We have reviewed 18 patients who had a disp...

Ultrasound in the management of the position of the femoral head during treatment in a spica cast after reduction of hip dislocation in developmental dysplasia of the hip.

In this prospective study of 18 hips we compared the efficacy of ultrasound with CT in determining the position of the femoral head in a spica cast after closed or open reduction in children with developmental dysplasia of the hip. Ultrasound was performed through the perineal opening of the cast. With a transinguinal approach, the superior ramus of the pubis, the acetabulum, the femoral head a...