Bitar K M, Ferdhany M E, Ashraf E I, Saw A
Department of Orthopaedic Surgery, University Malaya Medical Centre, Petaling Jaya, Malaysia.
Malays Orthop J. 2016 Nov;10(3):17-20. doi: 10.5704/MOJ.1611.008.
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. 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. 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. 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.
髋人字石膏固定是治疗发育性髋关节发育不良（DDH）的重要组成部分，也是儿童股骨骨折常用的治疗方法。髋部区域的石膏断裂是这种石膏相对常见的问题。我们开发了一种使用玻璃纤维作为石膏材料的三块板髋人字石膏应用技术。本综述的目的是评估髋人字石膏的物理耐久性及其使用时的皮肤并发症。对使用我们的方法进行髋人字石膏固定的各种疾病患儿进行回顾性研究。研究时间为2014年1月1日至2015年12月31日。我们的主要结果是石膏断裂和皮肤并发症。对于髋关节不稳定的患儿，第一次石膏在一个月后更换，第二次石膏在大约两个月后更换。纳入21名儿童，平均年龄2.2岁。髋人字石膏固定最常见的指征是发育性髋关节发育不良。一名儿童在应用髋人字石膏后出现皮肤刺激。未发现髋人字石膏断裂。本研究表明，使用玻璃纤维材料的三块板髋人字石膏应用方法耐用且安全，皮肤并发症风险低。
