A retrospective cohort study comparing outcomes of spica casting in pediatric femoral shaft fractures by orthopedic surgeons fellowship trained in pediatrics vs. those not fellowship trained in pediatrics

Non-pediatric-trained surgeons were found to have a higher malunion rate and longer operative time. Despite this, spica casting remains a reliable option for both pediatric-trained and non-pediatric-trained orthopedic surgeons. Further study may be needed to assess the clinical significance of the higher malunion rate.