Document Detail

Soft-plastic brace for lower limb fractures in patients with spinal cord injury.
MedLine Citation:
PMID:  23208540     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Retrospective study at a rehabilitation center.
OBJECTIVES: Patients with spinal cord injury, even if they are wheelchair users, sometimes suffer from fractures of the lower limb bones. As their bones are too weak to have surgery, and because a precise reduction is not required for restoration, such patients are often indicated for conservative treatment. This case series study investigated the use of a hinged, soft-plastic brace as a conservative approach to treating fractures of the lower extremities of patients with spinal cord injury.
SETTING: National Rehabilitation Center, Japan.
METHODS: Fifteen patients (male, n=10; female, n=5; average age, 52.7 years) with 19 fractures of the femur or the tibia who were treated with a newly-developed hinged, soft-plastic brace were studied. All of them used wheelchairs. We analyzed the time taken for fracture union and for wearing orthotics, degree of malalignment, femorotibial angle and side effects.
RESULTS: The fractures in this series were caused by relatively low-energy impact. The average time taken for fracture union was 80.1 (37-189) days, and the average amount of time spent wearing orthotics was 77.9 (42-197) days. On final X-ray imaging, the average femorotibial angle was 176.9° (s.d. ±8.90), and 15° of misalignment in the sagittal plane occurred in one patient.
CONCLUSION: A hinged, soft-plastic brace is a useful option as a conservative approach for treating fractures of the lower extremities in patients with spinal cord injury.
K Uehara; M Akai; T Kubo; N Yamasaki; Y Okuma; Y Tobimatsu; T Iwaya
Publication Detail:
Type:  Journal Article     Date:  2012-12-04
Journal Detail:
Title:  Spinal cord     Volume:  51     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-04-05     Completed Date:  2013-09-30     Revised Date:  2014-05-12    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  327-30     Citation Subset:  IM    
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MeSH Terms
Fractures, Bone / etiology*,  therapy*
Lower Extremity / physiopathology*
Middle Aged
Plastics / therapeutic use*
Retrospective Studies
Spinal Cord Injuries / complications*
Reg. No./Substance:
Comment In:
Spinal Cord. 2014 Apr;52(4):338   [PMID:  24513721 ]
Spinal Cord. 2014 Apr;52(4):337   [PMID:  24513722 ]

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