Key result
Treatment with a modified pantaloon walking spica cast resulted in a mean anterior bow of 5 degrees, 6.5 degrees angulation, and 1.2 cm shortening, with no further angulation upon ambulation.
Why the study?
Does a modified pantaloon walking spica cast provide adequate fracture control and allow early ambulation in children with middle and proximal femoral shaft fractures?
Observational (n=28)
Does a modified pantaloon walking spica cast provide adequate fracture control and allow early ambulation in children with middle and proximal femoral shaft fractures?
A modified pantaloon walking spica cast allows for early ambulation and provides adequate control of proximal and middle femoral shaft fractures in children.
Supports modified pantaloon casting for acceptable alignment and early ambulation in pediatric femoral fractures; leaves open confirmation in randomized trials.
A retrospective review of 28 children treated for middle and proximal femoral shaft fractures was undertaken. Following preliminary traction, a modified pantaloon walking spica, utilizing the principle of total contact and three-point fixation molding, was applied, followed by immediate ambulation. The mean anterior bow was 5 degrees varus/valgus, 6.5 degrees angulation, and 1.2 cm shortening. There were no significant differences in the results when age groups or proximal to mid-shaft fractures were compared. No further shortening or angulation occurred with ambulation. The advantages of early ambulation and better control of proximal shaft fractures are discussed.
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Guttmann et al. (1988) conducted an observational in Middle and proximal femoral shaft fractures (n=28). Modified pantaloon walking spica cast was evaluated on Anterior bow, angulation, and shortening. Treatment with a modified pantaloon walking spica cast resulted in a mean anterior bow of 5 degrees, 6.5 degrees angulation, and 1.2 cm shortening, with no further angulation upon ambulation.
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