PEDIATRIC FEMUR FRACTURES - EFFECTS OF SPICA CAST TREATMENT ON FAMILY AND COMMUNITY

被引：88

作者：

HUGHES, BF ^{[1
]}

SPONSELLER, PD ^{[1
]}

THOMPSON, JD ^{[1
]}

机构：

[1] JOHNS HOPKINS UNIV,DEPT ORTHOPAED SURG,BALTIMORE,MD

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 04期

关键词：

PEDIATRIC FEMUR FRACTURES; PHYSICAL THERAPY; SPICA CAST;

D O I：

10.1097/01241398-199507000-00009

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：

Twenty-three consecutive children with isolated closed femur fractures treated with early spica casts were studied to determine the impact of this treatment on family, school, and other support systems. Mobility was identified by families as the major problem. In families with two working parents, a mean of 3 weeks time off work was needed. None of the children was accepted into school in cast. Home tutoring for a mean of 8 weeks was used, with 48 tutor-hours per child. Despite this, none of the children fell permanently behind their class, and only two temporarily. No child required physical therapy beyond instruction in walking, and 12 had no physical therapy at all. Mean time to independent walking was 5 days and to running, 25 days; skills returned faster in younger children. All aspects of spica treatment were easier for preschool children. This study highlights some of the adaptations necessary with this treatment method and aids in advance planning.

引用

页码：457 / 460

页数：4

共 16 条

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