Skip to main content

Femoral Shaft Fracture: Spica Cast

  • Reference work entry
  • First Online:
Pediatric Orthopedic Trauma Case Atlas
  • 67 Accesses

Abstract

A 2-year-old girl sustained a closed, displaced fracture of the right femoral shaft. The oblique fracture pattern in the diaphysis and 1.5 cm of shortening made the fracture amenable to traditional closed treatment methods. A closed reduction of the right femoral shaft fracture was performed followed by hip spica cast application. This technique has been shown to be effective in children younger than 6 years with less than 2 cm of shortening. The fracture healed without complications or subsequent manipulation in 1 month. By 9 months, the fracture had remodeled to near anatomic alignment with no significant leg length discrepancy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 549.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 849.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References and Suggested Readings

  • Anglen JO, Choi L (2005) Treatment options in pediatric femoral shaft fractures. J Orthop Trauma 19(10):724–733

    Article  Google Scholar 

  • Ferguson J, Nicol RO (2000) Early spica treatment of pediatric femoral shaft fractures. J Pediatr Orthop 20:189–192

    CAS  PubMed  Google Scholar 

  • Flynn JM, Schwend RM (2004) Management of pediatric femoral shaft fractures. J Am Acad Orthop Surg 12(5):347–359

    Article  Google Scholar 

  • Flynn JM, Garner MR, Jones KJ, D’Italia J, Davidson RS, Ganley TJ, Horn BD, Spiegel D, Wells L (2011) The treatment of low-energy femoral shaft fractures: a prospective study comparing the “walking spica” with the traditional spica cast. J Bone Joint Surg Am 93(23):2196–2202

    Article  Google Scholar 

  • Large TM, Frick SL (2003) Compartment syndrome of the leg after treatment of a femoral fracture with an early sitting spica cast: a report of two cases. J Bone Joint Surg Am 85:2207–2210

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael G. Saper .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Saper, M.G. (2020). Femoral Shaft Fracture: Spica Cast. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_96

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29980-8_96

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29979-2

  • Online ISBN: 978-3-319-29980-8

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics