TraumaOrthotic hip brace as an alternative for treatment of femoral fractures in children under the age of 3 years: a retrospective studyGross, Itaia,b,*; Hashavya, Saara,*; Rogachev, Soniac; Simanovsky, Naumd; Shrabaty, Tareqd; Zaidman, Michaeld; Goldman, Vladimird Author Information aDepartment of Pediatric Emergency Medicine, Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel bDepartment of Pediatric Emergency Medicine, Queensland Children’s Hospital, Brisbane, Queensland, Australia cFaculty of Medicine, Medical Center and Faculty of Medicine, Hebrew University of Jerusalem dPediatric Orthopedic Unit, Orthopedic Surgery Department, Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel Received 30 April 2022 Accepted 19 June 2022 *Itai Gross and Saar Hashavya contributed equally to the writing of this article. Correspondence to Itai Gross, MD, Department of Pediatric Emergency Medicine, Hadassah Medical Center, Ein Kerem, Kiryat Hadassah, POB 12000, Jerusalem, 91120, Israel, Tel: +972 50 5172399; fax: +972 2 5334029; e-mail: [email protected] Journal of Pediatric Orthopaedics B 32(3):p 287-291, May 2023. | DOI: 10.1097/BPB.0000000000001000 Buy Metrics Abstract Femoral fractures are among the most common reasons for orthopedic-related hospital admissions in children. While spica cast is recommended for most children younger than 5 years, in the last decades, Pavlik harness was proven to be a safe alternative for young children. The objective is to assess the safety, outcomes and complications of a hip abduction brace (HAB) for the treatment of femoral fractures in children under the age of 3 years. This 7-year retrospective study was conducted in a single tertiary hospital. Children aged 6–36 months diagnosed with a femoral fracture, which did not necessitate operative treatment, were included. HAB has been used as the treatment of choice for nondisplaced or minimally displaced fractures of the proximal femur as well as for both displaced and nondisplaced femoral shaft fractures. The database was composed of a total of 102 children under the age of 3 with femoral fractures. Twenty-nine (28.4%) patients were treated with HAB and the others with a spica cast. The average age (±SD) at presentation was 21.5 ± 6.1 months. The length of stay was 0.96 ± 1 day. The complication rate was 6.9%. A satisfactory outcome in terms of fracture alignment and union was reported in 100% of the patients treated with HAB. When compared with patients treated with a spica cast, the HAB group were younger, had less severe injuries, shorter lengths of stay, lower complication rates and no need for surgical intervention. HAB can be considered a safe and comfortable alternative in selected children aged 6–36 months with nondisplaced/mildly displaced proximal and diaphyseal femoral fractures. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.