Advertisement

LO SCALPELLO-OTODI Educational

, Volume 32, Issue 3, pp 222–227 | Cite as

Indicazioni e limiti dell’apparecchio gessato in traumatologia pediatrica

  • Fabrizio DonatiEmail author
  • Gaetano Pagnotta
Aggiornamenti
  • 27 Downloads

Indications and limits of plaster cast applications in paediatric traumatology

Abstract

Surgical indications for the treatment of fractures in children have become increasingly frequent in the latest years, even though plaster cast treatment is still a very common therapeutic option. Various types of plaster casts are known, with different possible applications. Conservative treatment is indicated when the fracture is properly reduced and stable and in younger patients, although there are several other variables to be considered. Plaster cast treatment, with the correct indications, guarantees good results with a low percentage of complications and must therefore be at the base of the clinical practice in paediatric traumatology.

Notes

Conflitto di interesse

Gli autori Fabrizio Donati e Gaetano Pagnotta dichiarano di non aver alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and animal rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Bibliografia

  1. 1.
    Marsell R, Einhorn TA (2012) The biology of fracture healing. Injury 42(6):551–555 CrossRefGoogle Scholar
  2. 2.
    Le AX, Miclau T, Hu D, Helms JA (2001) Molecular aspects of healing in stabilized and non-stabilized fractures. J Orthop Res 19(1):78–84 CrossRefGoogle Scholar
  3. 3.
    Einhorn TA (1998) The cell and molecular biology of fracture healing. Clin Orthop Relat Res 355:S7–21 CrossRefGoogle Scholar
  4. 4.
    Wilkins KE (2005) Principles of fracture remodeling in children. Injury 36(Suppl 1):A3–11 CrossRefGoogle Scholar
  5. 5.
    Chen YJ, Lin H, Zhang X et al. (2017) Application of 3D-printed and patient-specific cast for the treatment of distal radius fractures: initial experience. 3D Print Med 3(1):11 CrossRefGoogle Scholar
  6. 6.
    Canavese F, Marengo L, Cravino M et al. (2017) Outcome of conservative versus surgical treatment of humeral shaft fracture in children and adolescents: comparison between nonoperative treatment (Desault’s bandage), external fixation and elastic stable intramedullary nailing. J Pediatr Orthop 37(3):e156–e163 CrossRefGoogle Scholar
  7. 7.
    Donati F, Mazzitelli G, Lillo M et al. (2017) Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age. World J Orthop 8(2):156–162 CrossRefGoogle Scholar
  8. 8.
    Hubbard EW, Riccio AI (2018) Pediatric orthopedic trauma: an evidence-based approach. Orthop Clin N Am 49(2):195–210 CrossRefGoogle Scholar
  9. 9.
    Hohloch L, Eberbach H, Wagner FC et al. (2017) Age- and severity-adjusted treatment of proximal humerus fractures in children and adolescents—a systematical review and meta-analysis. PLoS ONE 12(8):e0183157 CrossRefGoogle Scholar
  10. 10.
    Madhuri V, Dutt V, Gahukamble AD, Tharyan P (2014) Interventions for treating femoral shaft fractures in children and adolescents. Cochrane Database Syst Rev 7:CD009076 Google Scholar
  11. 11.
    Kinney MC, Nagle D, Bastrom T et al. (2016) Operative versus conservative management of displaced tibial shaft fracture in adolescents. J Pediatr Orthop 36(7):661–666 CrossRefGoogle Scholar
  12. 12.
    Paterno MV (2016) Unique issues in the rehabilitation of the pediatric and adolescent athlete after musculoskeletal injury. Sports Med Arthrosc Rev 24(4):178–183 CrossRefGoogle Scholar
  13. 13.
    Jackson PC, Morgan JM (2008) Perioperative thromboprophylaxis in children: development of a guideline for management. Paediatr Anaesth 18(6):478–487 CrossRefGoogle Scholar
  14. 14.
    Chin K, Abzug JM, Bae DS et al. (2016) Avoiding errors in the management of pediatric polytrauma patients. Instr Course Lect 65:345–352 Google Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018

Authors and Affiliations

  1. 1.Reparto di OrtopediaOspedale Pediatrico Bambino GesùPalidoroItalia

Personalised recommendations