Distal femoral metaphyseal (supracondylar) fracture in a child

(A) This 6-year-old patient sustained an unstable supracondylar fracture of the femur.
(B) The fracture was managed with immediate spica casting with the knee in 90 degrees of flexion, mandatory in such a case to prevent posterior angulation.
(C) Bayonet apposition is acceptable in a child this age.