Spica Casting in Pediatric Femur Fractures: Study of Single Leg Versus Double Leg Spica Casts
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic, Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 2 - 6 |
| Updated: | 2/7/2019 |
| Start Date: | June 2006 |
| End Date: | January 2009 |
Spica Casting in Pediatric Femur Fractures: A Prospective Randomized Controlled Study of Single Leg vs Double Leg Spica Casts
Prospective randomized controlled trial comparing use of single leg spica with double leg
spica casts in the treatment of pediatric femur fractures in children ages 2 through 6 years
old.
spica casts in the treatment of pediatric femur fractures in children ages 2 through 6 years
old.
Introduction
- double-leg spica casting is the treatment of choice at many centers for the treatment of
diaphyseal femur fractures in children 2 to 6 years old.
- Investigators hypothesize that these patients can be effectively treated with single-leg
spica casting and that such treatment will result in easier care and better patient
function during treatment.
Methods
- Prospective randomized controlled study of patients between 2 and 6 years old with
diaphyseal femur fractures
- patients randomly assigned to either immediate single or double-leg spica casting groups
after consent was obtained
- Radiographs serially evaluated for maintenance of reduction with respect to length,
varus/valgus angulation and procurvatum/recurvatum angulation
- After casts removal, the Activity Scale for Kids (Performance Version) questionnaire and
a custom written survey were given to parents evaluating ease of care and function of
children during treatment.
- double-leg spica casting is the treatment of choice at many centers for the treatment of
diaphyseal femur fractures in children 2 to 6 years old.
- Investigators hypothesize that these patients can be effectively treated with single-leg
spica casting and that such treatment will result in easier care and better patient
function during treatment.
Methods
- Prospective randomized controlled study of patients between 2 and 6 years old with
diaphyseal femur fractures
- patients randomly assigned to either immediate single or double-leg spica casting groups
after consent was obtained
- Radiographs serially evaluated for maintenance of reduction with respect to length,
varus/valgus angulation and procurvatum/recurvatum angulation
- After casts removal, the Activity Scale for Kids (Performance Version) questionnaire and
a custom written survey were given to parents evaluating ease of care and function of
children during treatment.
Inclusion Criteria:
- diaphyseal femur fracture
- age between 2 and 6 years old
Exclusion Criteria:
- underlying bone disorder
- neuromuscular disease
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