Lebanese American University, Gilbert and Rose-Marie Chagoury School of Medicine, Byblos, Lebanon; University of Alabama at Birmingham, Department of Orthopedic Surgery, Alabama.
University of Alabama at Birmingham, Department of Orthopedic Surgery, Alabama.
J Surg Orthop Adv. 2021 Spring;30(1):40-43.
We report using a spica cast created with cotton padding and Ace wrap without a rigid component for femur fracture in infants. Outcomes and complications of this soft spica cast were retrospectively compared with other treatments. There were 43 children younger than 6 months (43 diaphyseal fractures) included in the study. Treatment was a Pavlik harness (26 patients), a hard spica cast (8), or a soft spica cast (9) for an average of 3 weeks. All fractures demonstrated healing with similar final angulation and shortening. Hard spica casts caused the most complications. As for material costs, the soft spica is the least costly method ($2 per cast versus $87-$107 for Pavlik harness and $150 for hard spica). In conclusion, soft spica casts are as effective as other treatment options for femoral shaft fractures in young children. These casts are advantageous since they are easier to apply, easier to manage, and have a lower cost. (Journal of Surgical Orthopaedic Advances 30(1):040-043, 2021).
我们报告了一种使用棉花垫和 Ace 绷带制成的无刚性部件的 Spica 石膏管治疗婴儿股骨干骨折的方法。回顾性比较了这种软 Spica 石膏管与其他治疗方法的结果和并发症。研究纳入了 43 名 6 个月以下的儿童（43 例骨干骨折）。治疗方法为 Pavlik 吊带（26 例）、硬 Spica 石膏管（8 例）或软 Spica 石膏管（9 例），平均治疗时间为 3 周。所有骨折均愈合，最终成角和缩短相似。硬 Spica 石膏管导致的并发症最多。至于材料成本，软 Spica 是最便宜的方法（每管 2 美元，而 Pavlik 吊带为 87-107 美元，硬 Spica 为 150 美元）。总之，软 Spica 石膏管治疗幼儿股骨干骨折与其他治疗方法同样有效。这些石膏管具有易于应用、易于管理和成本较低的优势。（《外科矫形进展杂志》30（1）：040-043，2021 年）。
