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: (A) Skeletal traction, (B) Immediate application of a hip spica cast, (C) Skeletal traction for 2 weeks followed by application of a hip spica cast, (D) External skeletal fixation
Answer is B. 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.