Abstract
Purpose: Femur fractures in children 6 mos-5 years are frequently treated with spica casting. Surgical texts recommend molding spica casts into some valgus and recurvatum to counter deforming muscular forces, but how much overcorrection to aim for has not been evaluated. Our goal was to determine how much valgus and recurvatum is optimal at the time of casting to end up with anatomic alignment. Methods: Patients 1-6 years old with femur fractures treated with spica casts between 1/1/2008-1/31/2014 …
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