Management of pediatric subtrochanteric femur fracture with hip spica cast and external fixator device: two case reports

Pediatric subtrochanteric femur fractures are uncommon. Methods for management include hip spica cast after closed reduction, external fixation, open reduction with plate fixation, flexible intramedullary nailing, and rigid intramedullary nailing. Here we report our experience of two cases of pediatric subtrochanteric femur fracture. The first case was treated with closed reduction followed by hip spica cast. The second case was treated with hip spica cast initially, then with external fixator device. In both cases, the fractures healed well without complications. Further studies are necessary to determine the optimal treatment of such fractures.