Alternatives to Traditional Cast Immobilization in Pediatric Patients

被引：22

作者：

Shirley, Eric D. ^{[1
]}

Maguire, Kathleen Joan ^{[2
]}

Mantica, Abigail Louise ^{[2
]}

Kruse, Richard Wayne ^{[2
]}

机构：

[1] Pediat Orthopaed Associates, Atlanta, GA 30329 USA

[2] Nemours Alfred I duPont Hosp Children, Dept Orthoped Surg, Wilmington, DE USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2020年 / 28卷 / 01期

关键词：

HIP SPICA CASTS; FEMUR FRACTURES; FOREARM FRACTURES; FEMORAL FRACTURES; CONTROLLED-TRIAL; DISTAL RADIUS; CHILDREN; SPLINT; MANAGEMENT; REDUCTION;

D O I：

10.5435/JAAOS-D-18-00152

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Casts are commonly used for fracture management and postoperative immobilization in pediatric patients. However, cast immobilization is not without complications (eg, thermal injuries, pressure sores, infection, and neurovascular injury) and may be associated with additional costs and increased loss of school/work days for cast removal or other complications. The disadvantages of traditional casting can be minimized by alternative management strategies: waterproof casts to facilitate bathing and swimming; a Pavlik harness in infants, a single-leg spica cast, or flexible intramedullary nails to avoid complications with double-leg spica casts for femur fractures; and braces or splints to manage buckle and minimally displaced distal radius fractures, toddler's fractures, and stable foot/ankle fractures.

引用

页码：E20 / E27

页数：8

共 53 条

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[2]

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