McGraw-Heinrich Jessica A, Wall Jon C, Rosenfeld Scott B
Texas Children's Hospital, Orthopaedic Surgery, Baylor College of Medicine, Houston, TX. USA.
Texas Children's Hospital, Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA.
J Pediatr Soc North Am. 2025 Jul 3;12:100244. doi: 10.1016/j.jposna.2025.100244. eCollection 2025 Aug.
Complications can arise from the application, wear, and removal of casts and splints. This text reviews common complications, risk factors, and prevention strategies while exploring the medical-legal implications of these complications. Being aware of common pitfalls can help reduce risk and promote optimal patient outcomes.
(1)Proper and judicious casting and splinting techniques are critical to prevent complications.(2)Thermal injuries can occur due to excessive curing heat and cast saw burns.(3)Poor cast molding can lead to skin sores and loss of fracture reduction.(4)Patients should be comfortable in their cast, and uncontrolled pain warrants investigation.
石膏和夹板的应用、佩戴及拆除可能会引发并发症。本文回顾了常见并发症、危险因素及预防策略,同时探讨了这些并发症的医学法律影响。了解常见的陷阱有助于降低风险并促进患者获得最佳预后。
(1)正确且审慎的石膏和夹板固定技术对于预防并发症至关重要。(2)过度固化热和石膏锯烧伤可能导致热损伤。(3)石膏塑形不佳可导致皮肤溃疡和骨折复位丢失。(4)患者佩戴石膏时应感觉舒适,无法控制的疼痛需要进行检查。