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常见的管型并发症。

Common Cast Complications.

作者信息

McGraw-Heinrich Jessica A, Wall Jon C, Rosenfeld Scott B

机构信息

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.

出版信息

J Pediatr Soc North Am. 2025 Jul 3;12:100244. doi: 10.1016/j.jposna.2025.100244. eCollection 2025 Aug.

DOI:10.1016/j.jposna.2025.100244
PMID:40791972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12336002/
Abstract

UNLABELLED

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.

KEY CONCEPTS

(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.

摘要

未标注

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。

关键概念

（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。

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本文引用的文献

1
Current Complications of Cast Removal with Oscillating Saws and a Novel Method for Reducing Such Complications: A Comparative Clinical Study.使用摆动锯拆除石膏的当前并发症及减少此类并发症的新方法：一项比较性临床研究。
J Bone Joint Surg Am. 2023 Jan 4;105(1):35-41. doi: 10.2106/JBJS.21.01556. Epub 2022 Sep 28.
2
Dermatologic complications of orthopedic casts in pediatric patients.儿童骨科石膏固定的皮肤并发症。
Pediatr Dermatol. 2022 Jan;39(1):5-11. doi: 10.1111/pde.14884. Epub 2021 Dec 9.
3
Establishing Safety Parameters for Orthopaedic Cast Saw Blade Usage.
确定矫形外固定架锯片使用的安全参数。
J Pediatr Orthop. 2021;41(10):e884-e888. doi: 10.1097/BPO.0000000000001928.
4
Cast-Related Complications.与铸造物相关的并发症。
Orthop Clin North Am. 2021 Jul;52(3):231-240. doi: 10.1016/j.ocl.2021.03.005.
5
Cast Saw Burn Prevention: An Evidence-Based Review.铸造工锯烧伤预防：基于证据的综述。
J Am Acad Orthop Surg. 2021 May 1;29(9):380-385. doi: 10.5435/JAAOS-D-20-00723.
6
Does the location of short-arm cast univalve effect pressure of the three-point mould?短臂管型单瓣的位置是否会影响三点模具的压力？
J Child Orthop. 2020 Jun 1;14(3):236-240. doi: 10.1302/1863-2548.14.200034.
7
Medical Malpractice in Pediatric Orthopaedics: A Systematic Review of US Case Law.小儿骨科医疗事故：美国判例法的系统综述
J Pediatr Orthop. 2019 Jul;39(6):e482-e486. doi: 10.1097/BPO.0000000000001348.
8
Volumetric Considerations for Valving Long-Arm Casts: The Utility of the Cast Spacer.长臂管型石膏固定的容量考量：管型间隔器的作用
Am J Orthop (Belle Mead NJ). 2018 Jul;47(7). doi: 10.12788/ajo.2018.0061.
9
Foam Padding in Postoperative Lower Extremity Casting: An Inexpensive Way to Protect Patients.术后下肢石膏固定中的泡沫衬垫：一种保护患者的低成本方法。
J Pediatr Orthop. 2018 Sep;38(8):e470-e474. doi: 10.1097/BPO.0000000000001212.
10
Efficiency and Safety: The Best Time to Valve a Plaster Cast.效率与安全：打石膏最佳时机。
J Bone Joint Surg Am. 2018 Apr 18;100(8):e49. doi: 10.2106/JBJS.17.00389.