Question: In children with femoral fractures, how does early
application of hip spica compare with external fixation with regard to
malunion rates, physical function, behavioral disturbances, and patient
satisfaction?Design: Randomized (allocation concealed), blinded (outcome
assessor), controlled trial with 2-year follow-up.Setting: 4 pediatric hospitals in Toronto, Ontario, Canada;
Melbourne, Victoria, Australia; Los Angeles, California, United States; and
Auckland, New Zealand.