A spica cast is applied after surgery to hold the hips in the most appropriate position for bone growth. The purpose of the cast is to stabilize the hip after a reduction. A spica consists of a plaster or fiberglass cast that encases the child from stomach to feet.
When a surgeon installs a spica cast, they will hold the hips into position and then wrap the plaster around the hips until they obtain the appropriate thickness. The standard cast will have a cotton liner. Some surgeons will place a Gortex liner on the inside of the cast in an attempt to keep the skin dry.
The following are tips for spica cast care:
A description of when the cast is removed.
A Bachelor cast is often worn by the child after the child has spent time in a hip spica cast. Notice that the cast only covers the legs (it does not cover the hips and diaper area). The child can move more freely and some even learn to walk in it.
As seen below, there are different positions that the child can be put, and each spica cast is unique. The spica cast can be on one or both legs. The cast can cover the child's toes or end just above the knee. These pictures show other cast "styles".
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