Skin traction in hip spica casting for femoral fractures in children |
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Authors: | Cem Zeki Esenyel Kahraman Öztürk Oktay Adanir Bulent Aksoy Meltem Esenyel Ayhan N Kara |
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Institution: | 1. Department of Orthopaedic Surgery, SSK-Vakıf Gureba Teaching Hospital, SSK-Vakıf Gureba Egitim Hastanesi, Çapa-İstanbul, Turkey;2. Department of Orthopaedic Surgery, Şişli Etfal Teaching Hospital, Şişli-İIstanbul, Turkey;3. Department of Physical Therapy and Rehabilitation, SSK-Vakıf Gureba Teaching Hospital, Çapa-İstanbul, Turkey |
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Abstract: | Background 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.
Methods 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.
Results 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.
Conclusions 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. |
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