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RESULTS OF TREATMENT OF FRACTURED FEMURS IN CHILDREN: WITH ESPECIAL REFERENCE TO BRYANT'S OVERHEAD TRACTION

RESULTS OF TREATMENT OF FRACTURED FEMURS IN CHILDREN: WITH ESPECIAL REFERENCE TO BRYANT'S... Abstract This review of the cases of fractured femur encountered in the St. Louis Children's Hospital was made primarily to present the method of treatment and its results in simple fractures. In addition, an analysis of the entire group of cases of fractured femur, including pathologic fractures, has been made. ANALYSIS OF CASES Altogether, the reports of thirty-five cases1 have been collected. Thirty-one of these were simple fractures, eighteen of which were treated by overhead traction.2 Considering the ratio of ages, fracture of the femur is much more common in infancy, five of the thirty cases occurring in infants, 1 year of age or under.Depending on the kind of fracture and the complications, six different methods of treatment have been used, viz.: (1) overhead traction; (2) plaster casts; (3) splints; (4) horizontal traction; (5) open reduction, and (6) modified Steinman pin.The five cases treated by plaster cast References 1. This series was taken from the service of Dr. Clopton of the St. Louis Children's Hospital, and the work was undertaken at his suggestion. 2. Bryant, Thomas: Practice of Surgery , London 2:422, 1879. 3. McCosh: Ann. Surg. 26:368, 1897. 4. Sterns: New York M. J. 81:992-994, 1905. 5. Silver: Ann. Surg. 49:105-106, 1909.Crossref 6. Warbasse, J. P.: Surgical Treatment , Philadelphia, W. B. Saunders Company 1:590, 1919 7. Stimson, L. A.: Fractures and Dislocations , Philadelphia, Lea & Febiger, 1910, p. 408. 8. Satta, F.: Chir. d. org. di movimento 4:311-345 ( (July) ) 1920. 9. Speed, Kellogg: Surg., Gynec. & Obst. 32:527-534 ( (June) ) 1921. 10. This case is being reported by Dr. Sherwood Moore. Full details will be given in his report. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

RESULTS OF TREATMENT OF FRACTURED FEMURS IN CHILDREN: WITH ESPECIAL REFERENCE TO BRYANT'S OVERHEAD TRACTION

Archives of Surgery , Volume 5 (3) – Nov 1, 1922

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Publisher
American Medical Association
Copyright
Copyright © 1922 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1922.01110150255012
Publisher site
See Article on Publisher Site

Abstract

Abstract This review of the cases of fractured femur encountered in the St. Louis Children's Hospital was made primarily to present the method of treatment and its results in simple fractures. In addition, an analysis of the entire group of cases of fractured femur, including pathologic fractures, has been made. ANALYSIS OF CASES Altogether, the reports of thirty-five cases1 have been collected. Thirty-one of these were simple fractures, eighteen of which were treated by overhead traction.2 Considering the ratio of ages, fracture of the femur is much more common in infancy, five of the thirty cases occurring in infants, 1 year of age or under.Depending on the kind of fracture and the complications, six different methods of treatment have been used, viz.: (1) overhead traction; (2) plaster casts; (3) splints; (4) horizontal traction; (5) open reduction, and (6) modified Steinman pin.The five cases treated by plaster cast References 1. This series was taken from the service of Dr. Clopton of the St. Louis Children's Hospital, and the work was undertaken at his suggestion. 2. Bryant, Thomas: Practice of Surgery , London 2:422, 1879. 3. McCosh: Ann. Surg. 26:368, 1897. 4. Sterns: New York M. J. 81:992-994, 1905. 5. Silver: Ann. Surg. 49:105-106, 1909.Crossref 6. Warbasse, J. P.: Surgical Treatment , Philadelphia, W. B. Saunders Company 1:590, 1919 7. Stimson, L. A.: Fractures and Dislocations , Philadelphia, Lea & Febiger, 1910, p. 408. 8. Satta, F.: Chir. d. org. di movimento 4:311-345 ( (July) ) 1920. 9. Speed, Kellogg: Surg., Gynec. & Obst. 32:527-534 ( (June) ) 1921. 10. This case is being reported by Dr. Sherwood Moore. Full details will be given in his report.

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1922

References