Rosen Splint

Other Names

The Von Rosen Splint

• Rosen Splint
• Von Rosen Splint
• Coxa Splint

---

Background

• This page describes the so called rosen splint for neonatal/ infant hip pathology
• This is a commercially manufactured device made of rigid metal with padded supports
• Has fallen out of favor for the Pavlik Harness

---

Indications

• Developmental Dysplasia of the Hip
• Noenatal Hip Instability

---

Contraindications

• Unknown

---

Procedure

Equipment

• See: Casting materials

Technique

• Commercially manufactured device made of rigid metal with padded supports that position the hips in approximately 90 degrees of flexion and 45 degrees of abduction
• Splint is applied by selecting the appropriate size for the infant
• Place the infant supine and gently positioning the hips and knees into the desired flexion and abduction
• Splint is then fitted so that the padded supports rest against the thighs and lower legs
• Crossbar maintains the hips in the correct position
• Straps or Velcro fastenings are secured to ensure the splint remains in place,
• Allows for diaper changes and skin inspection

---

Aftercare

• Typically non-weight bearing until re-evaluated
• Advise patient to keep cast or splint clean and dry
• Do not insert objects into splint/ cast
• Monitor for complications (worsening pain, paresthesia/ numbness, color changes)
• Seek further care if unable to control pain at home

---

Complications

• Plaster burn/ thermal injury
• Pressure sores
• Nerve palsy
• Vascular compromise
• Splint dermatitis
• Permanent joint stiffness
• Skin infection
  • Cellulitis from underlying wound, pressure ulcers
• Respiratory Distress
  • The patient may develop respiratory symptoms if the thoracic component is too tight
  • It can be split down the side(s) similar to a bivalve and spread to allow for expansion
  • Alternatively, it can be removed and re-applied

---

See Also

• Procedures Main
• Pediatrics Main
• Casting Main

---