Femur Fracture
Conditions
Keywords
pediatric, femur, femoral, fracture, spica, cast, diaphyseal, single, double, patient age 2 to 6 years old
Brief summary
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.
Detailed description
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.
Interventions
OTHERSpica casting
single versus double leg spica casting
Sponsors
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* diaphyseal femur fracture * age between 2 and 6 years old
Exclusion criteria
* underlying bone disorder * neuromuscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptable fracture healing | 8 weeks | evaluation of shortening, angulation, and rotation radiographically at time of fracture healing |
Countries
United States
Outcome results
None listed