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