A prospective study was undertaken of fifty-one patients who were randomly assigned to treatment with either a long or a short thumb-spica cast for a non-displaced fracture of the carpal scaphoid. The duration of follow-up was at least until union; the average follow-up was twelve months. Twenty-eight fractures were treated with a long thumb-spica cast and twenty-three, with a short thumb-spica...

Introduction: Hip spica casting is an important component of treatment for developmental dysplasia of the hip (DDH) and popular treatment method for femur fractures in children. Breakage at the hip region is a relatively common problem of this cast. We have developed a three-slab technique of hip spica application using fibreglass as the cast material. The purpose of this review was to evaluate...

BACKGROUND The prevalence of DDH ranges from 1 per1000 to 3.4 per 100 live- births. One- and-one-half hip spica cast is the conventional technique of immobilization after the open reduction with or without osteotomy. OBJECTIVES In this study, we evaluated the preference of bilateral one-half spica cast over the one-and-one-half spica cast. MATERIALS AND METHODS Eight hips in five patients w...

Background: The treatment of femoral shaft fractures has always been a focus of interest especially in children, but may still remain a clinical problem and a subject of controversy. Objective: To compare the post-operative outcomes of hip spica and flexible intramedullary nails in treatment of femoral shaft fractures in children. Material & Methods: Randomized controlled trial conducted for si...

BACKGROUND Flexible intramedullary nailing (IMN) is a valuable tool in the treatment of femoral fractures in school-age children, whereas spica cast immobilization has been the standard of care for younger children. We compared these treatment modalities in a group of preschool-age children (four to five years of age). METHODS A retrospective cohort of consecutive patients, four to five years...

BACKGROUND Federal guidelines and state laws mandate that all children must be appropriately restrained while traveling in motor vehicles to reduce the risk of injury and death secondary to motor vehicle accidents. The purpose of this study is to identify the methods of restraint in motor vehicles for children in hip spica casts. METHODS Children placed in hip spica casts between August 1, 20...

background femur fracture is one of the most common fractures in children. certain parameters such as the patient’s age, the exact location of fracture, type of fracture, the mechanism of fracture, and the accompanying injuries determine which one of the many treatment techniques be used in each case. objectives we aimed to compare the results of close and open techniques in pediatric femoral s...

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...

PURPOSE The current technique of hip spica application is mostly based on a publication by Kumar (J Pediatr Orthop 1(1):97-99, 1981). We modified the technique of hip spica application in order to reduce the rate of breakage across the hip joint and designed this study to compare the strength between hip spica applied according to Kumar's technique and the new technique. METHODS We created 12...

OBJECTIVE Through a critical systematic overview of the literature on the treatment of pediatric femoral shaft fractures to determine if any method of treatment can be recommended over others. DATA SOURCES A MEDLINE search was performed for all cohort and randomized clinical trials for the years 1966 to 1996. STUDY SELECTION Of 1217 identified articles, 15 cohort studies (where 2 or more tr...