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.
The first problem is that there was a relatively small number of what they classified as obese patients among the total number of patients in the study, and, for …
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