A 4-year-old girl sustained an isolated, closed, diaphyseal fracture of her left femur in a motor vehicle accident. The fracture was transverse with approximately 1.5 cm of shoening. The most appropriate definitive management of this fracture is NOT RELATED-OHO
Isolated, closed femoral shaft fractures in children under 10 years of age are best managed by immediate closed reduction and application of a spica cast.
Skeletal traction
Immediate application of a hip spica cast
Skeletal traction for 2 weeks followed by application of a hip spica cast
External skeletal fixation
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