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. 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.
Of these, 11-all of whom had a diagnosis of developmental dysplasia of the hip-were treated using a spica cast.
Wrap the straps around your legs so that the pillow is positioned properly. Legs should fit on the sides of the hip pillow. The hip positioner should touch each of your leg from the thighs to the ankles. Place the abductor wedge between your thighs. CONTACT US ©2010-2022 GF HEALTH PRODUCTS, INC. General instructions for placing a hip abduction pillow are as follows: Lie down flat on a bed. is one of the worlds leading manufacturers of medical products, with 350 US-based employees, marketing our internationally recognized brands. The method of post-operative immobilization (spica cast or abduction pillow) and complications were recorded for each patient. Catalog Home Abduction Pillow GF Health Products, Inc. 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.
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