A straightforward inexpensive method for hip cast immobilization in infants and children

Kai Chen1, Yuxi Su1

  • 1Department of Orthopedics, Children's Hospital of Chongqing Medical University,Chongqing Key Laboratory of Pediatrics; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Chongqing, P.R China.

Annals of Medicine
|April 8, 2026
PubMed

Insights

A bamboo stick is a safe, portable, and cost-effective tool for spica cast immobilization in children with developmental dysplasia of the hip (DDH). This method is comparable to traditional hip spica tables regarding procedure time and complications.

Area of Science:

  • Pediatric Orthopedics
  • Skeletal Dysplasias
  • Medical Device Innovation

Background:

  • Developmental dysplasia of the hip (DDH) is the most common hip disorder in children.
  • Various methods and specialized equipment exist for spica cast immobilization.
  • There is a need for effective and accessible tools for this procedure.

Purpose of the Study:

  • To evaluate the effectiveness of a bamboo stick as a tool for spica cast immobilization in children with DDH.
  • To compare the bamboo stick method with the traditional hip spica table.

Main Methods:

  • Retrospective analysis of 216 children with DDH undergoing spica cast immobilization.
  • Division into two groups: bamboo stick (Group A) and hip spica table (Group B).
  • Comparison of preoperative data, procedure time, and major complications.

Main Results:

  • No significant difference in preoperative data or procedure time between groups.
  • Similar consumption of polymer bandages (7.8 rolls vs. 7.9 rolls).
  • No statistical difference in complications such as skin injury, rash, or cast contamination.

Conclusions:

  • A bamboo stick is a portable, safe, and cost-effective alternative for spica cast immobilization.
  • This method is suitable for pediatric DDH treatment.
  • It offers comparable outcomes to the hip plaster operating table.
Abstract

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