Abstract：
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.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Uehara K,Akai M,Kubo T,Yamasaki N,Okuma Y,Tobimatsu Y,Iwaya Tdoi
10.1038/sc.2012.145subject
Has Abstractpub_date
2013-04-01 00:00:00pages
327-30issue
4eissn
1362-4393issn
1476-5624pii
sc2012145journal_volume
51pub_type
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