Spica casting is the current standard of care when treating pediatric diaphyseal femur fractures in the 0-5 year age group. A study conducted by Kramer et al. suggests there are both clinical and financial benefits of functional bracing when compared to spica casting. To this date there have been no prospective trials to evaluate these two treatment options. The investigators plan to conduct a multi-center randomized-control trial that will compare the subjective, objective and financial aspects of functional bracing and spica casting for pediatric femur fractures.
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Changes in Leg Length
Timeframe: Radiographs will be reviewed at the pre-op and clinical follow-ups up to 1 year.
Changes in union/rate of malunion
Timeframe: Radiographs will be reviewed at the pre-op and clinical follow-ups up to 1 year.
Number of radiographs and clinic visits
Timeframe: This will be reviewed and counted for up to 1 year.
Economic costs (operating room cost)
Timeframe: This will be examined at the 1 day of intervention.
Work days lost for parents
Timeframe: This will be surveyed at the 6 week post-intervention visit.
Work days lost for parents
Timeframe: This will be surveyed at the 1 year post-intervention visit.
Pediatric Outcome Data Collection Instrument (PODCI)
Timeframe: This will be surveyed at the 6 week post-intervention visit.
Pediatric Outcome Data Collection Instrument (PODCI)
Timeframe: This will be surveyed at the 1 year post-intervention visit.