Segmental Femur Loss in Children

Two children with segmental femoral shaft loss were treated by skeletal traction to maintain soft tissue length, followed by casting to allow the callus to solidify. Initial traction was used to preserve length and allow for the development of bridging callus. Callus formation in 3-6 weeks was a good indicator for sufficient remaining periosteal sleeve to support healing without the need for bone grafting or internal fixation. These cases demonstrate the regenerative ability of the periosteum in healing pediatric fractures.