Key points are not available for this paper at this time.
Functional femur bracing is an alternative to spica casting in toddlers and preschool-aged patients with femoral shaft fractures. Prefabricated braces can be applied at the bedside quickly with minimal training and without anesthesia. The braces are adjustable to allow optimal positioning of the hip in flexion and abduction, as well as alteration as needed based on fracture characteristics and behavior. Hook and loop straps at the waist and leg permit swelling management and hygiene. Hinges allow for early motion and ambulation. This paper discusses the indications, techniques, and recommended follow-up for functional bracing and illustrates clinical results. Historically, the gold standard for the treatment of femur fractures in children aged 2 to 5 was closed reduction and spica casting. Functional bracing eliminates the need for casting and anesthesia and allows for easy adjustment and patient hygiene. Early results of a randomized controlled trial show equivalent outcomes to spica casting in the treatment of femoral shaft fractures. Brace application involves adjustment of a prefabricated brace to fit the patient, appropriate analgesia and family education.
Building similarity graph...
Analyzing shared references across papers
Loading...
Julia S. Sanders
Jonas Owen
Lindsay M. Andras
Journal of the Pediatric Orthopaedic Society of North America
University of Colorado Denver
Children's Hospital of Los Angeles
Children's Hospital Colorado
Building similarity graph...
Analyzing shared references across papers
Loading...
Sanders et al. (Fri,) studied this question.
www.synapsesocial.com/papers/68e5fb6fb6db64358758f316 — DOI: https://doi.org/10.1016/j.jposna.2024.100091
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: