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...

With a mean follow-up of four years, we assessed the outcomes of 11 refractures which occurred following paediatric femoral fractures treated by external fixation; the refractures were treated conservatively with simple immobilisation in a spica cast. A total number of 104 children with a femoral fracture were treated with external fixation between 1993 and 2000 in our institution. Refracture o...

PURPOSE To evaluate the treatment outcome of skin traction followed by spica casting for closed femoral shaft fractures in children. METHODS Between September 1997 and December 2001 inclusive, outcomes of 63 children aged one month to 15 (mean, 5.3) years with closed femoral shaft fractures managed with skin traction and spica casting were reviewed. Depending on age, patients were kept in tra...

Closed reduction and application of a spica cast is a standard treatment in children younger than 18 months. Proper abduction and flexion is crucial during cast application. The surgeon, who usually stands holding the lower limbs, often finds this position cumbersome and difficult to control limb position. During the past 6 years, we have used the lotus (crossed legs) position for the surgeon t...

Thirty-five of 44 nonunited scaphoid fractures that were at least 6 months old healed in a mean time of 4.3 months during pulsed electromagnetic field (PEMF) treatment using external coils and a thumb spica cast. The mean time from the onset of the fracture to treatment was 40 months. No concurrent operation was performed. Follow-up time averaged 8.4 months. Eight of nine fractures with avascul...

Objectives: Closed reduction (CR) is a well-established method for treating developmental dysplasia of the hip (DDH). Traditionally, child placed in spica cast after DDH CR three to four months and it common practice change under general anesthesia 6–8 weeks. To our knowledge, no previous studies have shown that changing necessary. We hypothesize there need can be safely retained without any si...

BACKGROUND: The scaphoid is the most prominent of the carpal bones in the first row and the most frequently fractured of all the carpal bones. Bilateral simultaneous scaphoid fractures are uncommon. OBJECTIVE: To report bilateral simultaneous fractures of the carpal scaphoid bones and their successful treatment with bilateral thumb spacia casts METHODS: A 28-year-old medical practitioner presen...

  Background: There is a general consensus on the management of femoral fractures in children younger than two years and adolescents older than sixteen years. The best treatment for patients younger than sixteen years of age is still debatable. Titanium Elastic Nails (TEN), is widely used with some evidence, nonetheless, we undertook a systematic meta-analysis to assess the efficacy of TEN comp...

OBJECTIVE The objective of this study was to analyze our experience in treating femoral shaft fractures with different strategies, focusing on the first year after injury when the choice of method would have the greatest impact. METHODS We reviewed the medical records of all children treated for femoral shaft fractures in our institution between 1997 and 2010. They were divided according to t...

Background: Fracture treatment in children relies on rapid healing and spontaneous correction of angulated fractures; therefore most of the diaphyseal fractures can be treated by plaster alone. Operative treatment of children's fractures is often looked at critically. Aim: To compare mean duration of bone union in traction followed by Spica cast versus titanium elastic nailing for fracture shaf...