Ronda Medical
OrthoPediatrics

DF2® — Functional Femoral Brace

The first functional brace designed specifically for pediatric femoral fractures — an alternative to the pelvic-pedal (spica) cast.

DF2 brace — official OrthoPediatrics render
6 months–5 yearsAge group
S · M · LSizes
4–6 wksWear time
NoAnesthesia
Clinical description

DF2® (Dynamic Femur Fracture Brace) is a functional brace developed by OrthoPediatrics specifically for the treatment of pediatric femoral shaft fractures. It is designed as an alternative to the pelvic-pedal (spica) cast, immobilizing the femur, knee, and hip through preconfigured, physician-adjustable components.

In a prospective randomized study presented at the 2022 POSNA meeting (Children’s Hospital Los Angeles), functional bracing produced outcomes equivalent to the spica cast in children with femoral shaft fractures, with no cases of malunion in either group. Unlike spica cast application, the brace can be fitted at the patient’s bedside, without general anesthesia and without operating-room time.

The functional design allows access for skin care and dressing changes, reduces exposure to cast-related procedures, and eases the family’s routine — including the use of a standard car seat. The brace is typically worn for approximately 4–6 weeks, with the duration determined by the treating physician according to the progress of fracture healing.

Indications
  • Fixation of femoral shaft fractures in pediatric patients aged approximately 6 months to 5 years.
  • Alternative to the pelvic-pedal (spica) cast.
  • Immobilization of the femur, knee, and hip throughout fracture healing.
Key features

Alternative to the spica cast

Functional brace with outcomes equivalent to the pelvic-pedal cast, fitted without general anesthesia.

Bedside fitting

Application without operating-room time and without general anesthesia.

Access for skin care

Allows dressing changes and hygiene, reducing skin complications.

Physician-adjustable

Hip hinge with lockable flexion/extension and abduction/adduction, adjustable intraoperatively.

Product gallery
DF2 brace — official OrthoPediatrics render
DF2 brace — official OrthoPediatrics render
DF2 brace fitted on a child’s lower limb
DF2 brace fitted on a child’s lower limb
Healing progression of a femoral fracture treated with DF2 (radiographs: at presentation, 1, 4 and 6 weeks, 6 months and 1 year)
Healing progression of a femoral fracture treated with DF2 (radiographs: at presentation, 1, 4 and 6 weeks, 6 months and 1 year)
Technical specifications
Age group
approx. 6 months – 5 years
Available sizes
S, M, L (preconfigured left/right)
Hip hinge — flexion/extension
−100° … +100°
Hip hinge — abduction/adduction
−180° … +180°
Main components
Pelvic girdle, hip hinge, outer sleeve, femoral and tibial tongue, foot plate, fracture sock
Outer sleeve
Polyethylene
Typical wear time
approx. 4–6 weeks (determined by the physician)
Adjustments
Lockable flexion/extension and abduction/adduction, physician-adjustable
Clinical evidence

A selection of publications and studies that mention use of the system. Summaries are indicative; for details, consult the original source.

Functional bracing vs. spica cast in children: a prospective randomized study

Chen V., Sanders J.S., Andras L.M. și colab. · JPOSNA, 2022

A prospective randomized study (Children’s Hospital Los Angeles & Colorado) comparing functional bracing with the pelvic-pedal cast in children with femoral shaft fractures. Outcomes were equivalent, with no cases of malunion in either group, while avoiding the anesthesia and operating-room time associated with cast application.

56 patients (29 cast, 27 brace); at 6 weeks all fractures were healed, with no malunion in either group.
View source
Certifications & compliance
CE marking FDA cleared (USA) for the described use

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