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