The video discusses treatment of a 2 year-old male who presented with leg pain after his brother jumped on him on the bed. X-ray showed a displaced, spiral fracture of the mid femoral shaft with minimal shortening. He had a closed reduction with manipulation in the OR and placement in a one-legged fully waterproof Spica cast. This video demonstrates this technique using 3 inch AquaCast liner rolls (as padding to allow patients to be submerged in the bath or pool.