Skin traction in hip spica casting for femoral fractures in children

The purpose of this study was to evaluate the skin traction in hip spica casting when applied as the standard treatment for children with femoral shaft fractures. A total of 207 patients with femoral fractures were treated with this method. The average age was 4.7 years. After the application of ski...

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Veröffentlicht in:Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2007-07, Vol.12 (4), p.327-333
Hauptverfasser: Esenyel, Cem Zeki, Öztürk, Kahraman, Adanir, Oktay, Aksoy, Bulent, Esenyel, Meltem, Kara, Ayhan N
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container_end_page 333
container_issue 4
container_start_page 327
container_title Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
container_volume 12
creator Esenyel, Cem Zeki
Öztürk, Kahraman
Adanir, Oktay
Aksoy, Bulent
Esenyel, Meltem
Kara, Ayhan N
description The purpose of this study was to evaluate the skin traction in hip spica casting when applied as the standard treatment for children with femoral shaft fractures. A total of 207 patients with femoral fractures were treated with this method. The average age was 4.7 years. After the application of skin traction, the fracture of the femur was reduced and was placed in a hip spica cast. Traction was continued in the cast. All fractures united within 4–8 weeks. No significant residual angular deformities were seen in any of the children. The only complication was refracture in two children who fell after removal of the cast. None of the children required external shoe lifts, epiphysiodesis, antibiotics, irrigation, or débridement. Skin traction and a well-molded hip spica cast is a safe, reliable treatment option for isolated, closed femoral fractures in children 2–7 years of age.
doi_str_mv 10.1007/s00776-007-1148-8
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A total of 207 patients with femoral fractures were treated with this method. The average age was 4.7 years. After the application of skin traction, the fracture of the femur was reduced and was placed in a hip spica cast. Traction was continued in the cast. All fractures united within 4–8 weeks. No significant residual angular deformities were seen in any of the children. The only complication was refracture in two children who fell after removal of the cast. None of the children required external shoe lifts, epiphysiodesis, antibiotics, irrigation, or débridement. 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source MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings
subjects Casts, Surgical
Child
Child, Preschool
Female
Femoral Fractures - therapy
Fracture Healing
Humans
Male
Recovery of Function
Traction - methods
title Skin traction in hip spica casting for femoral fractures in children
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