{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:36:04Z","timestamp":1792064164422,"version":"4.4.0"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Pediatric Orthopaedic Society of North America"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.jposna.2025.100203","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T12:17:20Z","timestamp":1748002640000},"page":"100203","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Dynamic Femur Fracture Brace vs Hip Spica Cast for Pediatric Femoral Shaft Fractures: A Retrospective Comparative Cohort Study"],"prefix":"10.1016","volume":"12","author":[{"given":"Virginia F.","family":"Casey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calvin C.","family":"Chandler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George D.","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0282-3663","authenticated-orcid":false,"given":"Steven L.","family":"Frick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jposna.2025.100203_bib1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/01241398-198601000-00010","article-title":"The incidence of femoral shaft fractures in children and adolescents","volume":"6","author":"Hedlund","year":"1986","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.jposna.2025.100203_bib2","doi-asserted-by":"crossref","first-page":"e543","DOI":"10.1542\/peds.2004-1064","article-title":"Childhood femur fractures, associated injuries, and sociodemographic risk factors: a population-based study","volume":"115","author":"Rewers","year":"2005","journal-title":"Pediatrics"},{"issue":"3","key":"10.1016\/j.jposna.2025.100203_bib3","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/BOT.0b013e318299cd20","article-title":"Pediatric orthopaedic injuries requiring hospitalization: epidemiology and economics","volume":"28","author":"Nakaniida","year":"2014","journal-title":"J Orthop Trauma"},{"issue":"11","key":"10.1016\/j.jposna.2025.100203_bib4","doi-asserted-by":"crossref","first-page":"718","DOI":"10.5435\/00124635-200911000-00006","article-title":"Treatment of pediatric diaphyseal femur fractures","volume":"17","author":"Kocher","year":"2009","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.jposna.2025.100203_bib5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00003086-199705000-00010","article-title":"Shortening in femoral shaft fractures in children treated with spica cast","volume":"338","author":"Thompson","year":"1997","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"10.1016\/j.jposna.2025.100203_bib6","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.ST.15.00070","article-title":"Single-leg spica cast application for treatment of pediatric femoral fracture","volume":"7","author":"Sargent","year":"2017","journal-title":"JBJS Essent Surg Tech"},{"issue":"2","key":"10.1016\/j.jposna.2025.100203_bib7","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1302\/1863-2548.12.170201","article-title":"Systematic review of spica casting for the treatment of paediatric diaphyseal femur fractures","volume":"12","author":"Tisherman","year":"2018","journal-title":"J Child Orthop"},{"key":"10.1016\/j.jposna.2025.100203_bib8","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/00003086-198706000-00021","article-title":"Improved treatment of femoral shaft fractures in children. The \"pontoon\" 90-90 spica cast","volume":"219","author":"Miller","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"10.1016\/j.jposna.2025.100203_bib9","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/01241398-199807000-00016","article-title":"Femur fractures in children: treatment with early sitting spica casting","volume":"18","author":"Illgen","year":"1998","journal-title":"J Pediatr Orthop"},{"issue":"8","key":"10.1016\/j.jposna.2025.100203_bib10","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1097\/BPO.0b013e3181fcb613","article-title":"Immediate spica casting of pediatric femoral fractures in the operating room versus the emergency department: comparison of reduction, complications, and hospital charges","volume":"30","author":"Mansour","year":"2010","journal-title":"J Pediatr Orthop"},{"issue":"1","key":"10.1016\/j.jposna.2025.100203_bib11","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1097\/BPO.0b013e3182032075","article-title":"Incidence of skin complications and associated charges in children treated with hip spica casts for femur fractures","volume":"31","author":"DiFazio","year":"2011","journal-title":"J Pediatr Orthop"},{"issue":"11","key":"10.1016\/j.jposna.2025.100203_bib12","doi-asserted-by":"crossref","first-page":"2207","DOI":"10.2106\/00004623-200311000-00024","article-title":"Compartment syndrome of the leg after treatment of a femoral fracture with an early sitting spica cast. A report of two cases","volume":"85","author":"Large","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jposna.2025.100203_bib13","series-title":"Rockwood and Wilkins' fractures in children","article-title":"Femoral shaft fractures","author":"Flynn","year":"2009"},{"issue":"4","key":"10.1016\/j.jposna.2025.100203_bib14","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/01241398-199507000-00009","article-title":"Pediatric femur fractures: effects of spica cast treatment on family and community","volume":"15","author":"Hughes","year":"1995","journal-title":"J Pediatr Orthop"},{"key":"10.1016\/j.jposna.2025.100203_bib15","series-title":"DF2\u00ae brace","year":"2024"},{"key":"10.1016\/j.jposna.2025.100203_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.jposna.2024.100091","article-title":"Functional bracing for pediatric femoral shaft fractures","volume":"8","author":"Sanders","year":"2024","journal-title":"Journal of the Pediatric Orthopaedic Society of North America"},{"issue":"3","key":"10.1016\/j.jposna.2025.100203_bib17","doi-asserted-by":"crossref","DOI":"10.55275\/JPOSNA-2022-0076","article-title":"Functional bracing of femur fractures in young children avoids anesthesia and spica casting with equivalent outcomes: a randomized prospective study","volume":"4","author":"Chen","year":"2022","journal-title":"Journal of the Pediatric Orthopaedic Society of North America"},{"issue":"8","key":"10.1016\/j.jposna.2025.100203_bib18","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.2106\/JBJS.J.00137","article-title":"American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of pediatric diaphyseal femur fracture","volume":"92","author":"Kocher","year":"2010","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.jposna.2025.100203_bib19","first-page":"77","article-title":"[Rotational deformities following pediatric femoral shaft fracture]","volume":"19","author":"Resch","year":"1989","journal-title":"Aktuelle Traumatol"},{"issue":"4","key":"10.1016\/j.jposna.2025.100203_bib20","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1097\/01241398-198607000-00006","article-title":"Remodeling after femoral shaft fractures in children treated by the modified blount method","volume":"6","author":"Malkawi","year":"1986","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"10.1016\/j.jposna.2025.100203_bib21","doi-asserted-by":"crossref","first-page":"945","DOI":"10.2106\/00004623-197658070-00009","article-title":"Long-term results in the treatment of femoral-shaft fractures in young children by immediate spica immobilization","volume":"58","author":"Irani","year":"1976","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"10.1016\/j.jposna.2025.100203_bib22","doi-asserted-by":"crossref","first-page":"649","DOI":"10.3109\/17453678108992162","article-title":"Fractures of the femoral shaft in children. The overgrowth phenomenon","volume":"52","author":"Shapiro","year":"1981","journal-title":"Acta Orthop Scand"},{"issue":"5","key":"10.1016\/j.jposna.2025.100203_bib23","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1302\/0301-620X.74B5.1527131","article-title":"Remodelling of angular deformity after femoral shaft fractures in children","volume":"74","author":"Wallace","year":"1992","journal-title":"J Bone Joint Surg Br"},{"issue":"2","key":"10.1016\/j.jposna.2025.100203_bib24","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inf"},{"key":"10.1016\/j.jposna.2025.100203_bib25","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J Biomed Inf"},{"issue":"14","key":"10.1016\/j.jposna.2025.100203_bib26","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.2106\/JBJS.K.00966","article-title":"Spica casting for pediatric femoral fractures: a prospective, randomized controlled study of single-leg versus double-leg spica casts","volume":"94","author":"Leu","year":"2012","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"10.1016\/j.jposna.2025.100203_bib27","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/01241398-199903000-00018","article-title":"The treatment of pediatric femur fractures with early 90-90 spica casting","volume":"19","author":"Czertak","year":"1999","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"10.1016\/j.jposna.2025.100203_bib28","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/01.bpo.0000217724.08794.e4","article-title":"Immediate single-leg spica cast for pediatric femoral diaphysis fractures","volume":"26","author":"Epps","year":"2006","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"10.1016\/j.jposna.2025.100203_bib29","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/01241398-200409000-00002","article-title":"Comparison of Pavlik harness application and immediate spica casting for femur fractures in infants","volume":"24","author":"Podeszwa","year":"2004","journal-title":"J Pediatr Orthop"},{"issue":"23","key":"10.1016\/j.jposna.2025.100203_bib30","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.2106\/JBJS.J.01165","article-title":"The treatment of low-energy femoral shaft fractures: a prospective study comparing the \"walking spica\" with the traditional spica cast","volume":"93","author":"Flynn","year":"2011","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"10.1016\/j.jposna.2025.100203_bib31","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1542\/hpeds.2020-0009","article-title":"Longitudinal trends in costs for hospitalizations at children's hospitals","volume":"10","author":"Russell","year":"2020","journal-title":"Hosp Pediatr"},{"issue":"4","key":"10.1016\/j.jposna.2025.100203_bib32","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2017.6233","article-title":"Understanding costs of care in the operating room","volume":"153","author":"Childers","year":"2018","journal-title":"JAMA Surg"},{"issue":"6","key":"10.1016\/j.jposna.2025.100203_bib33","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1542\/peds.2012-2494","article-title":"Resource utilization for observation-status stays at children's hospitals","volume":"131","author":"Fieldston","year":"2013","journal-title":"Pediatrics"},{"issue":"5","key":"10.1016\/j.jposna.2025.100203_bib34","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/PEC.0000000000000508","article-title":"Preliminary report-the long leg cast with a pelvic band: a novel approach to treatment of pediatric femur fractures","volume":"33","author":"Pidgeon","year":"2017","journal-title":"Pediatr Emerg Care"}],"container-title":["Journal of the Pediatric Orthopaedic Society of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2768276525000471?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2768276525000471?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T14:18:21Z","timestamp":1768227501000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2768276525000471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":34,"alternative-id":["S2768276525000471"],"URL":"https:\/\/doi.org\/10.1016\/j.jposna.2025.100203","relation":{},"ISSN":["2768-2765"],"issn-type":[{"value":"2768-2765","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Dynamic Femur Fracture Brace vs Hip Spica Cast for Pediatric Femoral Shaft Fractures: A Retrospective Comparative Cohort Study","name":"articletitle","label":"Article Title"},{"value":"Journal of the Pediatric Orthopaedic Society of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jposna.2025.100203","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of Pediatric Orthopaedic Society of North America.","name":"copyright","label":"Copyright"}],"article-number":"100203"}}