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Closed Reduction and Early Cast-Brace Ambulation in the Treatment of Femoral Fractures PART II: RESULTS IN ONE HUNDRED AND FORTY-THREE FRACTURES
JOHN F. CONNOLLY; ERNST DEHNE; BRUCE LAFOLLETTE
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Vanderbilt University School of Medicine, Nashville, Tennessee 37232 R. E. Thomasen General Hospital, El Paso, Texas 79905 Tripler Army Medical Center, APO San Francisco, California 96438
1973 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1973 Dec 01;55(8):1581-1599
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Abstract

In 143 femoral fractures treated by closed reduction, early application of a cast-brace, and ambulation, the incidence of non-union and malunion was 0.7 per cent; of shortening of more than two centimeters, 13 per cent; of symptomatic loss of knee motion, 5.4 per cent; of refracture, 2 per cent; and of pulmonary emboli, 3 per cent. The method was found to be especially suited for the primary treatment of distal fractures, comminuted mid-shaft fractures, and open fractures, but was also useful for the management of infected, ununited fractures in conjunction with standard bone-grafting procedures. Transverse fractures in the mid-third and proximal-third could be managed successfully by this method provided the surgeon observed the alignment closely, maintaining the position of the fragments by ancillary procedures as needed.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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