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Evidence-Based Orthopaedics   |    
Early Application of Hip Spica Led to Higher Malunion Rates in Pediatric Femoral Fracture

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Sources of funding: Medical Research Council of Canada and Canadian Orthopaedic Research Education Association.
For correspondence: Professor J.G. Wright, Department of Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. E-mail: james.wright@sickkids.ca
Wright JG, Wang EE, Owen JL, Stephens D, Graham HK, Hanlon M, Nattrass GR, Reynolds RA, Coyte P. Treatments for Paediatric Femoral Fractures: A Randomised Trial.
Lancet.
2005 Mar 26;365: 1153-8.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Aug 01;87(8):1891-1891. doi: 10.2106/JBJS.8708.ebo1
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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.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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