Femur Fracture: Alternatives to Spica Casting for Fractures in Patients Under Age 6

  • Daniel G. HoernschemeyerEmail author
  • Madeline E. Robertson
Living reference work entry


A 4-year-old male sustained a left femoral shaft fracture after falling from a chair. While pediatric femoral shaft fractures may be treated with spica casting or flexible nailing, the 2.5 cm femoral shortening along with the patient’s age suggested alternatives to spica casting be considered. Using retrograde techniques, the fracture was reduced and two 3-mm titanium flexible nails were placed in a retrograde fashion. The fracture subsequently healed and the hardware was removed 1 year after placement.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel G. Hoernschemeyer
    • 1
    Email author
  • Madeline E. Robertson
    • 1
  1. 1.Pediatric OrthopaedicsUniversity of Missouri, MU Women’s and Children’s HospitalColumbiaUSA

Section editors and affiliations

  • Eric D. Shirley
    • 1
  1. 1.Pediatric Orthopaedic AssociatesMariettaUSA

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