A straightforward inexpensive method for hip cast immobilization in infants and children.

BACKGROUDS: Developmental dysplasia of the hip (DDH) represents the most prevalent hip disorder in children. A variety of methods for spica cast immobilization have been described using specialized equipment. This study attempts to explore an effective tool for spica cast immobilization.

METHODS

We retrospectively analysed a total of 216 children who were diagnosed with DDH and underwent spica cast immobilization in our hospital from January 2018 to December 2023. They were divided into the group A (use of a bamboo stick) and group B (use of the hip spica table). The statistical analysis was conducted on preoperative data, procedure time, and major complications following spica cast immobilization.

RESULTS

A total of 101 children in group A and 115 children in group B underwent spica cast immobilization. There was no statistically significant difference in general preoperative data (gender age, weight, medical history, or affected side) and procedure time. The mean number of polymer bandages consumed in group A was 7.8 ± 0.4 rolls, and 7.9 ± 0.5 rolls in group B. There was no statistically significant difference between the two groups. There was no statistical difference in complications (including superficial skin injury, extensive rash, and cast contamination).

CONCLUSION

The bamboo stick represents a portable, safe, and cost-effective alternative to the hip plaster operating table. This method can be applied in spica cast immobilization in children.