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Femoral Shaft Fracture: Spica Cast

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Pediatric Orthopedic Trauma Case Atlas

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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.

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References and Suggested Readings

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Author information

Authors and Affiliations

  1. Department of Orthopedics and Sports Medicine, Seattle Children’s, Seattle, WA, USA

    Michael G. Saper

Authors
  1. Michael G. Saper
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Correspondence to Michael G. Saper .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, Ohio, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, Florida, USA

    Steven L. Frick

Section Editor information

  1. Orthopaedics, Nemours Children's Clinic, 807 Children's Way, 32207, Jacksonville, FL, USA

    Eric D. Shirley MD

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© 2017 Springer International Publishing AG

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Saper, M.G. (2017). Femoral Shaft Fracture: Spica Cast. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_96-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_96-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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