Journal Contents   |    
Closed Reduction and Early Cast-Brace Ambulation in the Treatment of Femoral Fractures PART II: RESULTS IN ONE HUNDRED AND FORTY-THREE FRACTURES
View Disclosures and Other Information
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
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    ACR Appropriateness Criteria® acute hand and wrist trauma. -American College of Radiology | 7/17/2009
    Treatment of pediatric diaphyseal femur fractures. -American Academy of Orthopaedic Surgeons (AAOS) | 7/17/2009
    Results provided by:
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Ohio - OhioHealth Research and Innovation Institute (OHRI)
    Massachusetts - The University of Massachusetts Medical School
    Pennsylvania - Penn State Milton S. Hershey Medical Center