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What do I need to know about 6 weeks in a hip spica?(10 Posts)
Sorry, I don't even know what a spica is
Have a cuddle instead
i have no experience as yet but two friends kids have had it done, one borrowed a special wheelchair from the hospital the other managed with her SN buggy, neither child was particularly active so the position didnt seem to bother them too much.
biggest problems were lifting them and also the cast getting a bit whiffy as you can only really shove the nappies up thru the hole between the legs that they leave and inevitably there can be a bit of leakage which after 6 weeks can be somewhat stinky!
My ds is facing this in the next few weeks (he has spastic diplegia)
He was scheduled to have it done last November but it got cancelled due to him having a chest infection.
OT input- a hoist, recommended to sleep downstairs, lifting would be a problem.
They would try and adapt his sn pushchair so he could fit in it and be comfortable. Chair at home may be adaptable but best seating would be a bean bag
All this not to mention the requirements for travel, car seats, nursery or school.
Am expecting it to be a nightmare tbh and wish he had had it done in November as we would now be coming out the other end.
Alot of it would will depend on what position his legs are in when he comes out of theatre as the surgeons said they wouldn't know until they had a look iyswim.
Good luck anyway Riven.
Just seen this. Remember you posting on a thread about ds facing this this year.
As far as I understand it is a case of looking at everything from seating, pushchairs, car seats to nappies etc. They don't always do casts but mouldings apparently to facilitate washing etc. Have ss coming next week to discuss (since they've been so helpful to date!) as "the social side of things HAS to be in place to even contemplate this operation".
Our physio is saying we have a lot of work to do to prepare ds physically for the operation as the looser / more flexible he is the better the outcome / fewer repeat operations required etc. That'll take at least 3 months apparently preferably 6. Trouble is 6 months could make the damage irrepairable apparently.
Will have to compare notes as we learn more.
re spica second the beanbag v useful and can be squashed into any position for spica,
as above does depend on how they set the cast, in older children some surgeons prefer to set them very flat which is v diff to manage and often needs specialist wheelchair like chunk which lie flat and EZ harness for car so they lie flat on seat ,again am not sure how this would work for you, but not all orthos set flat so is worth asking esp if your daughter finds it diff to sleep flat.
my nephew was in a spica post salters at age 5 and was cast completely flat had to sleep on back. above was equipment that my sil was able to borrow from hosp but not all hosp have access to equipment.
also not every consultant puts a cast on older children some just say is ok if they are still and not weight bearing.
re nappies, is a great video on steps website on applying sleek tape to try and avoid mess on cast and changing nappies in cast. also is a sticky thread on equipment needed for spica. know my SIL spent time on here and got a lot of help from the forum on there
Not been through this op myself my dd2 was in pavlik but may end up needing further surgery x
I have looked at the Steps website and it has been most helpful.
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