Femoral shaft fractures in children treated with early spica cast

Aurelio G. Martinez*, Norris C. Carroll, John F. Sarwark, Luciano S. Dias, Armen S. Kelikian, George A. Sisson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

73 Scopus citations


We retrospectively reviewed 51 patients aged 3-11 years with femoral shaft fractures selected for treatment with early spica cast immobilization. Shortening >20 mm was the most common complication, occurring in 22 (43%) of the 51 patients. Factors associated with unacceptable shortening were shortening at the time of spica cast application >10 mm, shortening >20 mm at initial examination, and increasing age. Achieving <1 cm shortening at the time of cast application and close follow-up during the first 2 weeks after cast application are advised in order to achieve an acceptable final outcome.

Original languageEnglish (US)
Pages (from-to)712-716
Number of pages5
JournalJournal of Pediatric Orthopaedics
Issue number6
StatePublished - 1991


  • Early spica cast
  • Femoral shaft fractures
  • Shortening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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