Incidence of Skin Complications and Associated Charges in Children Treated With Hip Spica Casts for Femur Fractures

• DOI: 10.1097/bpo.0b013e3182032075
• Publication Date: 2011-03-30T07:57:20Z
• Authors: Rachel DiFazio; Judith Vessey; David Zurakowski; Michael Timothy H...; Travis Matheney
• Keywords: Spica; Femur fracture

Background Spica cast immobilization remains the treatment of choice for femur fractures in children aged 6 months to years. The incidence skin complications and their associated charges have not been well described. This study's purposes were to: (1) determine rate treated with spica casts fractures, (2) identify predictors, (3) calculate complications. Methods Health records all patients immediate casting a fracture at major tertiary-care children's hospital from 2003 2009 reviewed relevant data abstracted. Descriptive statistics univariate multiple logistic regression analyses used compare without predictors total leading change early bivalving lining calculated. Results Of 300 applications 297 patients, 77 subjects (28%) had Twenty-four (31%) these underwent operating room, 34 (44%) required 19 (25%) trimming and/or care. Predictors included: child abuse as mechanism injury, younger age, time more than 40 days. Sex, weight, location, number clinic visits statistically significant median charge who changes was $12,719 ($8632 $53,768), whereas $416.51 ($403.32 $449.00). Conclusions is numerous additional charges. Victims may benefit clinical oversight. Future research needs investigate patient education interventions that reduce Level Evidence Prognostic III—case-control study identified based on outcome—skin versus no