RETRACTED ARTICLE: Hip spica versus Rush pins for management of femoral diaphyseal fractures in children

Ruhullah, Mohammad; Singh, Hare Ram; Shah, Sanjay; Shrestha, D

doi:10.4103/0019-5413.139860

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Ruhullah M et al 5 in their study showed that male: female ratio was 2.5:1. Mean age of injury was 4 years 4 months comparable with Ruhullah M et al, 5 where it was 6.4 years. Average duration of hospital stay was 1.5 days in our study.…”

Section: Discussionsupporting

confidence: 58%

Outcome of Study of Immediate Hip Spica Application in Femoral Diaphyseal Fractures in Children

Das¹,

Debnath²,

Sil³

2017

jemds

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BACKGROUNDFemoral shaft fractures in the paediatric patients have traditionally been treated non-operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. Surgical treatment invites complications. Immediate hip spica casting indeed leads to significant reductions in weight-bearing delay, hospitalisation duration, complications and costs, while having similar clinical results as traction. Aims-Aim of the study was to assess the final outcome related to the study. MATERIALS AND METHODSWe conducted a prospective study over a period of two years on 45 patients with closed shaft femur fractures below 10 years of age, treated by immediate hip spica casting. Under fluoroscopy, fracture was reduced on the same day of presentation to hospital. Patients were discharged after 24 hours of observation. RESULTSThe average hospital stay was 1.5 days. The average duration of followup was 6.4 months. The average shortening of the fractured limb at the time of fracture union was 11 mm. The average shortening of limb at the last followup was 7 mm. All fractures united in an acceptable position except one. CONCLUSIONImmediate hip spica casting be considered as the gold standard for closed femoral shaft fracture in children < 10 years.

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Section: Discussionsupporting

confidence: 58%

Outcome of Study of Immediate Hip Spica Application in Femoral Diaphyseal Fractures in Children

Das¹,

Debnath²,

Sil³

2017

jemds

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“…Breakage of spica cast before the intended period of application is a relatively common problem in the management of DDH [ 2 , 3 ]. Various modifications in plastering technique have been described to strengthen the spica cast.…”

Section: Introductionmentioning

confidence: 99%

Comparing the mechanical strength of hip spica cast between a conventional and a new method of application

Wan

Shanmugam

Lee

et al. 2016

Journal of Children's Orthopaedics

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PurposeThe current technique of hip spica application is mostly based on a publication by Kumar (J Pediatr Orthop 1(1):97–99, 1981). We modified the technique of hip spica application in order to reduce the rate of breakage across the hip joint and designed this study to compare the strength between hip spica applied according to Kumar’s technique and the new technique.MethodsWe created 12 hip spica casts with 24 hips according to Kumar’s technique, and another 12 casts according to a new technique. The two types of spica were tested with a mechanical testing machine (Instron 3365 series) by using compression loading to failure in flexion, extension, abduction and adduction. Data were analysed in SPSS version 20.0. Comparison of means was done with an independent T test for normally distributed data and the Mann–Whitney test for skewed data.ResultsThe new technique involved the creation of three slabs, instead of 14 slabs as described by Kumar. The loads to failure for hip spica cast applied according to the new technique were higher than those applied according to Kumar’s technique, and the differences were statistically significant. The stiffness was also higher in spica casts applied with the new technique; the difference was not statistically significant under extension force.ConclusionHip spica applied with the new technique was stronger than that applied according to Kumar’s technique based on load to failure testing. The new technique of application would potentially reduce the risk of cast breakage during the management of developmental dysplasia of the hip (DDH) and femur fracture in children.

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“…The article titled, “Hip spica versus Rush pins for management of femoral diaphyseal fractures in children” published in Indian Journal of Orthopaedics 1 , issue 5, Vol. 48, pages 488-94, is being retracted.…”

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confidence: 99%

Retraction Note to: Hip spica versus Rush pins for management of femoral diaphyseal fractures in children

Ruhullah,

Singh,

Shah

et al. 2016

IJOO

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RETRACTED ARTICLE: Hip spica versus Rush pins for management of femoral diaphyseal fractures in children

Cited by 3 publications

References 20 publications

Outcome of Study of Immediate Hip Spica Application in Femoral Diaphyseal Fractures in Children

Outcome of Study of Immediate Hip Spica Application in Femoral Diaphyseal Fractures in Children

Comparing the mechanical strength of hip spica cast between a conventional and a new method of application

Retraction Note to: Hip spica versus Rush pins for management of femoral diaphyseal fractures in children

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