Hip spica cast care in children

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Hip spica cast care in children

• M.H Ebrahimzadeh MD
• Department of Orthopedic Surgery
• Ghaem Hospital Medical School
• Mashad, Iran
• Ebrahimzadehmh_at_mums.ac.ir

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Applied For

• Development hip dysplasia
• Fracture of femur
• Thigh and pelvis tendon transfer

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Draying time

• Plaster of Paris 48 hours
• Fiberglas 2 hours

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Check the function of nerves and blood vessels

• 1- the color of childs toes.(pink and warm)
• 2- the child should be able to feel all sides of
  his/her toes.
• 3- little swelling of the toes.
• 4- wiggle his/her toes.

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Cast care

• 1- Cut several strip of
• - Water proof tape
• - Mole skin tape
• - Micro foam TM tape (for latex sensitive
  patients)
• 2- Tuck it around the cast edges.
• - Special attention to diaper area.

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Cast care

• Observe the cast for

• Cracks - Softening
• Dents - Increasing tightness or lessening
• - Drainage on the cast

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Skin care

• Daily check by mother
• with a flash light
• 1- redness areas under cast
• 2- blister
• 3- sores
• rub the skin under edges of cast with alcohol.

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Skin care

• - not use of lotion or powders - not allow
  the child to stick any objects under cast- blow
  cool air under cast edge.(for itching).- expose
  the skin as much as possible.

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Diet

• Constipation
• - inactivity
• - pain medications

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Diet

• Meal position
• - Upright as possible.
• Meal times more frequent and smaller
• - avoid over feeding !

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Meals types

• - Fresh fruit - Raw vegetables - Grain
  breads - Cereals

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Clothing

• Not to dress to much clothes and fasten.
• Custom made clothes.

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Positioning

• Supine
• Prone
• Side-lying

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Transporting

• Dont use cross-bar for lifting the child
• Smaller child
• -Stroller or wagon older child
• Older child
• -Reclining wheelchair

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Diapers and bedpans

• Use of a smaller than usual and tuck the diaper
  between childs skin and cast, keep plastic
  backing next to cast surface.

• - Check the diaper every one to two hours

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Bathing

• Sponge bath every day (protect the cast plastic
  bags)
• Dray the skin.
• Mild soap.

• Zinc oxide ointment.
• Use of light sprays
• Use of cool air drayer.

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References

• 1- Internet web side of
• Britrish Colombia childrens Hospital, BC.Canada.
• Cincinative childrens Hospital, USA.
• Childrens virtual Hospital, University of Iowa,
  USA.
• Philadelphia Children Hospital, USA.

• 2- Published Papers in Indexed Journals.

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