{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:15:29Z","timestamp":1791897329361,"version":"4.3.4"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The aim of the study was to describe the long leg cast with a pelvic band (LLCPB), a novel alternative to spica casting for treating femur fractures in patients aged 6 months to 6 years which requires no casting above the waist, allows for hip flexion adjustments after it is applied, and does not require an operating room for placement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Seven children aged 7.9 months to 3.7 years with femur fractures treated with the LLCPB at a single institution were retrospectively studied. All children were casted in the emergency department under conscious sedation. Radiographic and subjective outcomes were recorded.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>All 7 children achieved acceptable reduction of their fractures without the need for re-reduction or cast wedging. Five of the 7 children were discharged from the emergency department; 1 child required 1 night of hospitalization and another child required 2 nights of hospitalization. There were no complications. The cost of placing an LLCPB at our institution was $430.46. The cost of placing a spica cast in the operating room was $5427.54 to $6465.00.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The long leg cast with a pelvic band seems to be an acceptable treatment for children aged 8 months to 4 years with spiral femur fractures. This technique has significant advantages over traditional and modified spica casts including allowing for uninhibited toileting, weight bearing on the unaffected leg, adjustment of hip flexion at any point after placement, and easier access to the perineum, abdomen, and chest for hygienic and medical purposes. Furthermore, treatment with an LLCPB presents significant potential for cost savings.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000508","type":"journal-article","created":{"date-parts":[[2015,9,27]],"date-time":"2015-09-27T12:30:07Z","timestamp":1443357007000},"page":"329-333","source":"Crossref","is-referenced-by-count":5,"title":["Preliminary Report\u2014The Long Leg Cast With a Pelvic Band"],"prefix":"10.1097","volume":"33","author":[{"given":"Tyler S.","family":"Pidgeon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Schiller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib1-20231023","doi-asserted-by":"crossref","first-page":"347","DOI":"10.5435\/00124635-200409000-00009","article-title":"Management of pediatric femoral shaft fractures","volume":"12","year":"2004","journal-title":"J Am Acad Orthop Surg"},{"key":"bib2-20231023","doi-asserted-by":"crossref","first-page":"718","DOI":"10.5435\/00124635-200911000-00006","article-title":"Treatment of pediatric diaphyseal femur fractures","volume":"17","year":"2009","journal-title":"J Am Acad Orthop Surg"},{"key":"bib3-20231023","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1097\/01.bot.0000192294.47047.99","article-title":"Treatment options in pediatric femoral shaft fractures","volume":"19","year":"2005","journal-title":"J Orthop Trauma"},{"key":"bib4-20231023","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","year":"1995","journal-title":"J Pediatr Orthop"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/01241398-200003000-00011","article-title":"Early spica treatment of pediatric femoral shaft fractures","volume":"20","year":"2000","journal-title":"J Pediatr Orthop"},{"key":"bib6-20231023","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","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"bib7-20231023","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","year":"2006","journal-title":"J Pediatr Orthop"},{"key":"bib8-20231023","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 \u201cwalking spica\u201d with the traditional spica cast","volume":"93","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"bib9-20231023","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/BPO.0b013e3180dca0e5","article-title":"Predicting the outcome of physeal fractures of the distal femur","volume":"27","year":"2007","journal-title":"J Pediatr Orthop"},{"key":"bib10-20231023","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/0020-1383(81)90089-9","article-title":"Experience with the use of a Vitrathene brace in the treatment of femoral shaft fractures","volume":"13","year":"1981","journal-title":"Injury"},{"issue":"376","key":"bib11-20231023","first-page":"106","article-title":"Immediate hip spica casting for femur fractures in pediatric patients. A review of 175 patients","year":"2000","journal-title":"Clin Orthop"},{"key":"bib12-20231023","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1097\/01.bot.0000184146.82824.35","article-title":"Spica cast application in the emergency room for select pediatric femur fractures","volume":"19","year":"2005","journal-title":"J Orthop Trauma"},{"key":"bib13-20231023","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","year":"2010","journal-title":"J Pediatr Orthop"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201705000-00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:02:37Z","timestamp":1698026557000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201705000-00005"}},"subtitle":["A Novel Approach to Treatment of Pediatric Femur Fractures"],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000508","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}