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首页> 外文期刊>The Journal of Bone and Joint Surgery. American Volume >Spica casting for pediatric femoral fractures: A prospective, randomized controlled study of single-leg versus double-leg spica casts
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Spica casting for pediatric femoral fractures: A prospective, randomized controlled study of single-leg versus double-leg spica casts

机译：角膜塑形术治疗小儿股骨骨折：单腿和双腿角膜塑形术的前瞻性，随机对照研究

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Background: At many centers, double-leg spica casting is the treatment of choice for diaphyseal femoral fractures in children two to six years old. We hypothesized that such patients can be effectively treated with single-leg spica casting and that such treatment would result in easier care and better patient function during treatment. Methods: In a prospective, randomized controlled study, fifty-two patients two to six years old with a diaphyseal femoral fracture were randomly assigned to be treated immediately (after consent was obtained) with a single-leg (twenty-four patients) or double-leg (twenty-eight patients) spica cast. Serial radiographs were evaluated for maintenance of fracture reduction with respect to limb length, varus/valgus angulation, and procurvatum/recurvatum angulation. After cast removal, the performance version of the Activities Scale for Kids questionnaire and a custom-written survey were administered to the parents so that they could evaluate the ease of care and function of the children during treatment. Means were compared between treatment groups with use of Student t tests. P values of <0.05 were considered significant. Results: All limbs healed in satisfactory alignment. The children treated with a single-leg spica cast were more likely to fit into car seats (p < 0.05) and fit more comfortably into chairs (p < 0.05). Caregivers of patients treated with a single-leg cast took less time off work (p < 0.05). There were no major complications. Conclusions: Treatment of pediatric femoral fractures with a single-leg spica cast is effective and safe, and postfracture patient care is facilitated. Level of Evidence: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
机译：背景：在许多中心，双腿角膜塑形术是治疗2至6岁儿童的干端股骨骨折的首选治疗方法。我们假设可以使用单腿角膜塑形管有效地治疗此类患者，并且这种治疗将使治疗过程中的护理和患者功能更好。方法：在一项前瞻性，随机对照研究中，将52例2至6岁的干端股骨骨折患者随机分配为单腿（24例）或双腿立即治疗（在获得同意后） -腿（二十八例患者）角膜塑形。评估了一系列的X射线照片，以维持关于肢体长度，内翻/外翻角度和前弯/后弯角度的骨折复位。脱模后，对父母进行了“儿童活动量表”问卷的绩效版本和定制调查，以便他们评估治疗期间孩子的照料和功能的难易程度。使用Student t检验比较治疗组之间的平均值。 P <0.05被认为是显着的。结果：所有肢体均愈合良好。用单腿绞痛石膏治疗的儿童更可能适合汽车座椅（p <0.05），并且更舒适地适合椅子（p <0.05）。单腿石膏治疗的患者的护理人员减少了下班时间（p <0.05）。没有重大并发症。结论：单腿角膜塑形术治疗小儿股骨骨折是安全有效的，并有助于骨折后患者的护理。证据级别：治疗级别I。有关证据级别的完整说明，请参见《作者须知》。

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