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Letters to the Editor   |    
Surgical Treatment of Femoral Fractures in Obese Children
John P. Lubicky, MD, FAAOS, FAAP1
1 Indiana University Medical Center/Riley Hospital for Children 702 Barnhill Drive, Room 4250 Indianapolis, IN jlubicky@iupui.edu
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The author did not receive grants or outside funding in support of his research for or preparation of this work. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Aug 01;88(8):1890-b-1891
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Extract

To The Editor:This letter is in response to the article by Leet et al., entitled "Surgical Treatment of Femoral Fractures in Obese Children: Does Excessive Body Weight Increase the Rate of Complications?" (2005;87:2609-13), which focused on complications in obese children undergoing surgical treatment of femoral fractures. While most surgeons, it is safe to say, prefer to operate on thin patients rather than obese patients, most of us have the anecdotal impression that various kinds of complications seem to be more common in obese patients, regardless of whether they are children or adults. The authors apparently wanted to prove that these anecdotal beliefs are actually true and could be quantified statistically by looking at a group of children undergoing surgery for the treatment of femoral fractures. Unfortunately, for a variety of reasons, I do not believe that they proved their point.
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