Physical and Clinical Evaluation of Hip Spica Cast applied with Three-slab Technique using Fibreglass Material
- Author:
Bitar KM
;
, Ferdhany ME
;
Ashraf EI
;
Saw A
- Publication Type:Journal Article
- Keywords:
DDH;
hip spica cast;
paediatric femur fracture;
closed reduction
- MeSH:
Hip Fractures
- From:Malaysian Orthopaedic Journal
2016;10(3):17-20
- CountryMalaysia
- Language:English
-
Abstract:
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 the
physical durability of the spica cast and skin complications
with its use.
Methodology: A retrospective review of children with
various conditions requiring hip spica immobilisation which
was applied using our method. Study duration was from 1st
of January 2014 until 31st December 2015. Our main
outcomes were cast breakage and skin complications. For
children with hip instability, the first cast would be changed
after one month, and the second cast about two months later.
Results: Twenty-one children were included, with an
average age of 2.2 years. The most common indication for
spica immobilisation was developmental dysplasia of the
hip. One child had skin irritation after spica application. No
spica breakage was noted.
Conclusion: This study showed that the three-slab method
of hip spica cast application using fibreglass material was
durable and safe with low risk of skin complications.
- Full text:P020170106473613212509.pdf
