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Pediatric Orthopedic Trauma Case Atlas pp 1–5Cite as

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

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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.

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References and Suggested Reading

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Author information

Authors and Affiliations

  1. Pediatric Orthopaedics, University of Missouri, MU Women’s and Children’s Hospital, Columbia, MO, USA

    Daniel G. Hoernschemeyer & Madeline E. Robertson

Authors
  1. Daniel G. Hoernschemeyer
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  2. Madeline E. Robertson
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Corresponding author

Correspondence to Daniel G. Hoernschemeyer .

Editor information

Editors and Affiliations

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

    Christopher Iobst

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

    Steven L. Frick

Section Editor information

  1. Pediatric Orthopaedic Associates, Marietta, GA, USA

    Eric D. Shirley

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© 2019 Springer Nature Switzerland AG

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Hoernschemeyer, D.G., Robertson, M.E. (2019). Femur Fracture: Alternatives to Spica Casting for Fractures in Patients Under Age 6. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_153-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_153-1

  • Received:

  • Accepted:

  • Published:

  • 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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