Dynamic Skeletal Traction Spica Casts For Paediatric Femoral Fractures In A Resource-limited Setting

Title

Dynamic Skeletal Traction Spica Casts For Paediatric Femoral Fractures In A Resource-limited Setting

Creator

Hsu A R; Diaz H M; Penaranda N R P; Cui H D; Evangelista R H A; Rinsky L; Gracilla R V

Publisher

International Orthopaedics

Date

2009
2009-06

Description

The objective of this study was to compare elastic intramedullary nailing (EIN) with dynamic skeletal traction spica casting (DSTSC) in terms of postoperative radiographic angulations, length of hospital stay, and cost in a resource-limited setting. We prospectively studied 51 children, five to twelve years of age, with femoral fractures treated with either EIN (n = 26) or DSTSC (n = 25). Children treated with EIN had significantly longer hospital stays (17 +/- 8.0 days) than those treated with DSTSC (6.0 +/- 2.5 days). Financial constraints in acquiring supplies caused a significant increase in time from admission to surgery (EIN 9.5 +/- 2.3 days; DSTSC 1.1 +/- 0.3 days), and cost was about 400% higher for EIN compared with DSTSC. At twelve weeks follow-up, all patients in both groups had acceptable radiographic angulations. In resource-limited healthcare settings, DSTSC is an effective alternative to EIN with comparable post-op radiographic angulations, decreased hospital stays, and lower cost.

Subject

adolescents; children; femur fractures; flexible intramedullary nails; internal-fixation; operative stabilization; Orthopedics; shaft fractures

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

765-771

Issue

3

Volume

33

Citation

Hsu A R; Diaz H M; Penaranda N R P; Cui H D; Evangelista R H A; Rinsky L; Gracilla R V, “Dynamic Skeletal Traction Spica Casts For Paediatric Femoral Fractures In A Resource-limited Setting,” NEOMED Bibliography Database, accessed January 20, 2021, https://neomed.omeka.net/items/show/10255.

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