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

View Disclosures and Other Information
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.
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
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Pediatric athlete hip disorders. Clin Sports Med 2006;25(2):241-53, viii.
    Pediatric hip: pearls and pitfalls. Semin Musculoskelet Radiol 2013;17(3):328-38.
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    W. Virginia - Charleston Area Medical Center
    District of Columbia (DC) - Children's National Medical Center
    New York - Icahn School of Medicine at Mount Sinai