Alomran Ammar K, Almulhim Hadeel, Alabdulqader Shahad, Almutairi Danah S, Alrusayyis Danah F, Althwaiqb Sarah A, Alumran Arwa
Orthopedics Department, Imam Abdulrahman bin Faisal University, College of Medicine, Dammam, Saudi Arabia.
College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
J Multidiscip Healthc. 2023 Jul 28;16:2145-2153. doi: 10.2147/JMDH.S398953. eCollection 2023.
Hip spica tables are widely used among pediatric orthopedic surgeons to maintain the hip position during cast application and drying processes for a better outcome. Locally customized spica tables can be a significant concern if their limitations significantly interfere with the quality of care.
This study aims to explore the current practice of pediatric hip spica table application among hospitals in the GCC countries and report comprehensive data that help surgeons enhance their practice.
This is a cross-sectional study on pediatric orthopedic surgeons using a self-administered Online Questionnaire. The respondents were grouped as those using locally customized tables, where further information about the material and characteristics were collected, and those using company manufactured tables. Both groups answered analytical questions related to their current practice of hip spica tables.
Sixty-three surgeons completed the survey. More than half the physicians in this study are using locally customized spica tables (n= 41, 65%). Compared to company-manufactured tables, locally customized tables were associated with a higher rate of difficulties when taking an X-ray, when the patient weighs more than 50.0 kg, and with anesthesia, although not statistically significant.
Obtaining a good quality spica table at a suitable price is a primary obstacle pediatric orthopedic surgeons face. This study shows no statistically significant difference between locally customized and company-manufactured tables regarding the outcomes and that spica tables have room for development to optimize their utilization.
髋人字石膏床在儿科骨科医生中被广泛使用，以便在石膏固定和干燥过程中保持髋关节位置，从而获得更好的治疗效果。如果局部定制的髋人字石膏床存在显著局限性并严重影响护理质量，那么这可能会成为一个重大问题。
本研究旨在探讨海湾合作委员会国家各医院儿科髋人字石膏床的应用现状，并报告有助于外科医生改进其操作的全面数据。
这是一项针对儿科骨科医生的横断面研究，采用自行管理的在线问卷。受访者分为使用局部定制石膏床的一组（收集了有关材料和特性的进一步信息）以及使用公司生产石膏床的一组。两组都回答了与他们目前髋人字石膏床使用情况相关的分析性问题。
63名外科医生完成了调查。本研究中超过一半的医生使用局部定制的髋人字石膏床（n = 41，65%）。与公司生产的石膏床相比，局部定制的石膏床在拍摄X光、患者体重超过50.0千克以及麻醉时出现困难的发生率更高，尽管差异无统计学意义。
以合适的价格获得质量良好的髋人字石膏床是儿科骨科医生面临的主要障碍。本研究表明，局部定制石膏床和公司生产石膏床在治疗效果方面无统计学显著差异，且髋人字石膏床在优化其使用方面仍有发展空间。
