However, in children with osteopenic bone at risk for implant failure and in children with unstable hip reductions, a spica cast may be preferable. An abduction pillow is a welcome alternative to a spica cast following hip surgery for many patients with neuromuscular and syndromic conditions. This incident occurred at home and the abduction pillow was easily and quickly removed to allow resuscitation. The child who was successfully resuscitated after a choking incident weeks after the surgery may have had a worse outcome if it had been in a spica cast. It is our opinion that only one of these complications in the children treated with an abduction pillow (the case of possible implant migration) may have been avoided if the child had originally been placed in a spica cast. (green/black) One extra hygiene (red) replacement strap in each kit.
![abduction pillow abduction pillow](https://www.mdsupplies.com/sup/images/productImages/YW56FGQWKK.gif)
#ABDUCTION PILLOW CODE#
Instructions for left or right side application are simple due to the colour code of neck and arm pit straps. In the 21 patients treated in an abduction pillow, 4 (19%) were switched to a spica cast for the following reasons: (1) distal femoral fracture as a result of vigorous resuscitation during a choking episode, (2) parental preference, (3) for added immobilization over concern of implant loss of fixation, and (4) concern of migration of the hip, which again migrated after being changed to a spica cast and eventually required a pelvic osteotomy. The soft envelope can be opened quickly for arm mobilization or personal hygiene without having to completely remove sling or pillow. Of these, 11-all of whom had a diagnosis of developmental dysplasia of the hip-were treated using a spica cast. The Ranger Shoulder Series was developed in association with sports medicine leaders to provide secure and. The method of post-operative immobilization (spica cast or abduction pillow) and complications were recorded for each patient. Ranger Shoulder Abduction Pillow with Sling.
![abduction pillow abduction pillow](https://www.lakelandorthotics.co.uk/wp-content/uploads/2018/07/BraceID-shoulder-ABDuction-pillow_front-MAIN.jpg)
Studies have shown that when using a spica cast following hip surgery in children, there are associated complications such as soiling, pressure sores, and osteopenic fractures.Ĭharts were retrospectively reviewed for all patients who had undergone hip surgeries by one surgeon at one institution between 19.