Volkmann contracture and compartment syndromes after femur fractures in children treated with 90/90 spica casts

Scott J. Mubarak, Steve Frick, Ernest Sink, Karl Rathjen, Kenneth J. Noonan

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Nine pediatric patients (mean age 3.5 yrs) with low energy femur fractures were treated with 90/90 spica casts and developed leg compartment syndromes, Volkmann contracture, and ankle skin loss. These cases are detailed and a proposed mechanism leading to this devastating complication is explained. The authors believe the technique of an initial below knee cast, and then using that cast for applying traction while immobilizing the child in the 90/90 spica is potentially dangerous. Alternative spica application methods are advocated.

Original languageEnglish (US)
Pages (from-to)567-572
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume26
Issue number5
DOIs
StatePublished - Sep 1 2006

Keywords

  • Compartment syndrome
  • Femur fracture
  • Spica cast
  • Volkmann's

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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