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

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

Abstract

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.

References and Suggested Reading

  1. Bopst L, Reinberg O, Lutz N (2007) Femur fracture in preschool children: experience with flexible intramedullary nailing in 72 children. J Pediatr Orthop 27(3):299–303CrossRefGoogle Scholar
  2. Goodbody CM, Flynn JM (2016) Flexible intramedullary nailing of femoral ahaft fractures. In: Flynn JM, Sankar WN, Wiesel SW (eds) Operative techniques in pediatric orthopaedic surgery, 2nd edn. Wolters Kluwer, Philadelphia, pp 197–201Google Scholar
  3. Herring JA (2008) Tachdjian’s pediatric orthopaedics from the Texas Scottish rite hospital for children, 4th edn. Saunders Elsevier, Philadelphia, pp 2641–2647Google Scholar
  4. Kocher MS et al (2009) Treatment of pediatric diaphyseal femur fractures. J Am Acad Orthop Surg 17(11):718–725CrossRefGoogle Scholar
  5. Shemshaki HR, Mousavi H, Salehi G, Eshaghi MA (2011) Titanium elastic nailing versus hip spica cast in treatment of femoral-shaft fractures in children. J Orthop Traumatol 3(1):45–48CrossRefGoogle Scholar
  6. Simanovsky N, Porat S, Simanovsky N, Eylon S (2006) Close reduction and intramedullary flexible titanium nails fixation of femoral shaft fractures in children under 5 years of age. J Pediatr Orthop B 15(4):293–297CrossRefGoogle Scholar
  7. Song HR, Oh CW, Shin HD et al (2004) Treatment of femoral shaft fractures in young children: comparison between conservative treatment and retrograde flexible nailing. J Pediatr Orthop B 13:275–280CrossRefGoogle Scholar

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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