Butler Bennet A, Lawton Cort D, Christian Robert, Harold Ryan E, Gourineni Prasad, Sarwark John F
Northwestern Memorial Hospital, Department of Orthopedic Surgery, 676 North St. Clair St., Suite 1350, Chicago, Illinois, 60611, USA.
Advocate Children's Hospital, Department of Orthopedic Surgery, 4440 W 95th St, Oak Lawn, IL, 60453, USA.
J Orthop. 2018 Sep 6;15(4):971-973. doi: 10.1016/j.jor.2018.08.043. eCollection 2018 Dec.
Pediatric femur fractures are frequently encountered injuries frequently treated with spica casting. Spica casting may, however, be expensive and burdensome to patients. A possible alternative is a long leg splint.
Patients aged 6 months to 5 years old who were treated for a femoral shaft fracture with a long leg splint extending above the waist were matched with a patient treated with a spica cast.
At the time of healing, the alignment in the spica cast group was only significantly better than the alignment of the splint group with respect to coronal angulation.
小儿股骨骨折是常见的损伤,常采用髋人字石膏固定治疗。然而,髋人字石膏固定可能费用高昂且给患者带来负担。一种可能的替代方法是长腿夹板。
选取年龄在6个月至5岁之间、采用超过腰部的长腿夹板治疗股骨干骨折的患者,并与采用髋人字石膏固定治疗的患者进行匹配。
在骨折愈合时,髋人字石膏固定组仅在冠状面成角方面的对线情况显著优于夹板组。