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shorter length of stay compared with external fixation. Level III. Level III. Nondisplaced metaphyseal fractures of the distal tibia, or toddler's fractures, are one of the most common pediatric injuries. Healing typically occurs quickly without sequelae. Treatment ranges from long leg cast immobilization to observation. This study compares short-term clinical and radiographic outcomes of toddler's fractures treated with long leg casting versus observation. Patients with toddler's fractures were offered enrollment and randomization at diagnosis. Bec

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