FEMORAL-SHAFT FRACTURES IN CHILDREN TREATED WITH EARLY SPICA CAST

被引：69

作者：

MARTINEZ, AG ^{[1
]}

CARROLL, NC ^{[1
]}

SARWARK, JF ^{[1
]}

DIAS, LS ^{[1
]}

KELIKIAN, AS ^{[1
]}

SISSON, GA ^{[1
]}

机构：

[1] CHILDRENS MEM MED CTR,DIV ORTHOPAED,ORTHOPAED OFF,2300 CHILDRENS PLAZA,CHICAGO,IL 60614

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 06期

关键词：

EARLY SPICA CAST; FEMORAL SHAFT FRACTURES; SHORTENING;

D O I：

10.1097/01241398-199111000-00002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We retrospectively reviewed 51 patients aged 3-11 years with femoral shaft fractures selected for treatment with early spica cast immobilization. Shortening > 20 mm was the most common complication, occurring in 22 (43%) of the 51 patients. Factors associated with unacceptable shortening were shortening at the time of spica cast application > 10 mm, shortening > 20 mm at initial examination, and increasing age. Achieving < 1 cm shortening at the time of cast application and close follow-up during the first 2 weeks after cast application are advised in order to achieve an acceptable final outcome.

引用

页码：712 / 716

页数：5

共 23 条

[1]

Allen B.L., Kant A.P., Emery F.E., Displaced fractures of the femoral diaphysis in children. Definitive treatment in a double spica cast, J Trauma, 17, pp. 8-19, (1977)

[2]

Burton V.W., Fordyce A.J., Immobilization of femoral shaft fractures in children aged 2-10 years, Injury, 4, pp. 47-53, (1972)

[3]

Celiker O., Cetin I., Sahlan S., Pestilci F., Altug M., Femoral shaft fractures in children: Technique of immediate treatment with supracondylar Kirschner wires and one-and-a-half spica cast, J Pedialr Orthop, 8, pp. 580-584, (1988)

[4]

Dameron T.B., Thompson H.A., Femoral shaft fractures in children treated by closed reduction and double spica cast immobilization, J Bone Joint Surg [Br], pp. 1201-1212, (1959)

[5]

David V., Shortening and compensatory overgrowth following fractures of the femur in children, Arch Surg, 9, pp. 438-449, (1924)

[6]

Henderson O.L., Morrissy R.T., Gerdes M.H., McCarthy R.E., Early casting of femoral shaft fractures in children, J Pediatr Orthop, 4, pp. 16-21, (1984)

[7]

Irani R.N., Nicholson J.T., Chung S., Long term results in the treatment of femoral shaft fractures in young children by immediate spica immobilization, J Bone Joint Surg [Am], pp. 945-951, (1976)

[8]

Malkawi H., Shannak A., Hadidi S., Remodeling after femoral shaft fractures in children treated by the modified Blount method, J Pediatr Orthop, 6, pp. 421-429, (1986)

[9]

McCarthy R.E., A method for early spica cast application in treatment of pediatric femoral shaft fractures, J Pediatr Orthop, 6, pp. 89-91, (1986)

[10]

Meals R., Overgrowth of the femur following fractures in children: Influence of handedness, J Bone Joint Surg [Am], 61, pp. 381-384, (1979)

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