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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
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
Ferguson J, Nicol RO (2000) Early spica treatment of pediatric femoral shaft fractures. J Pediatr Orthop 20:189–192
Flynn JM, Schwend RM (2004) Management of pediatric femoral shaft fractures. J Am Acad Orthop Surg 12(5):347–359
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
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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this entry
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