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A straightforward inexpensive method for hip cast immobilization in infants and children
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.
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.
Backgrouds:
Developmental dysplasia of the hip (DDH) represents the most prevalent hip disorder in children. A variety of methods for spica cast immobilization have been described using specialized equipment. This study attempts to explore an effective tool for spica cast immobilization.
Methods:
We retrospectively analysed a total of 216 children who were diagnosed with DDH and underwent spica cast immobilization in our hospital from January 2018 to December 2023. They were divided into the group A (use of a bamboo stick) and group B (use of the hip spica table). The statistical analysis was conducted on preoperative data, procedure time, and major complications following spica cast immobilization.
Results:
A total of 101 children in group A and 115 children in group B underwent spica cast immobilization. There was no statistically significant difference in general preoperative data (gender age, weight, medical history, or affected side) and procedure time. The mean number of polymer bandages consumed in group A was 7.8 ± 0.4 rolls, and 7.9 ± 0.5 rolls in group B. There was no statistically significant difference between the two groups. There was no statistical difference in complications (including superficial skin injury, extensive rash, and cast contamination).
Conclusion:
The bamboo stick represents a portable, safe, and cost-effective alternative to the hip plaster operating table. This method can be applied in spica cast immobilization in children.
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