Clinical Observations on Fractures of the Shaft of the Femur in Children
10.4055/jkoa.1969.4.3.19
- Author:
Jung Ihl KEE
;
Sae Yoon KANG
;
Duk Yong LEE
- Publication Type:Original Article
- MeSH:
Child;
Femur;
Humans;
Immobilization;
Ischemic Contracture;
Leg;
Seoul;
Traction
- From:The Journal of the Korean Orthopaedic Association
1969;4(3):19-25
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
1. Fifty one cases of fractures of the shaft of the femur in children, treated at Seoul National University Hospital during the seven years, from August 1962 to July 1969, were analyzed. 2. In thirty eight of the cases fracture involved the middle third of the shaft, in eleven the upper third, and in two the lower third. 3. Bryant traction was employed in fifteen of the cases ranging from four months to six years of age. One case, five years old, was complicated by Volkmanns ischemic contracture on both legs. 4. Russell traction was employed in eleven of the cases ranging from six to fourteen years of age. Angulation and distraction must be watched especially in the younger age group, although we encountered no serious complications which required subsequent treatment. 5. Hoke traction was employed in twelve of the cases ranging from six to eleven years of age. Although this form of treatment is not particularly popular, we are of the opinion that it is the treatment of choice over two years of age and,under six years of age and that between six and twelve years of age it may be optionally employed along with Russell traction. We found it. particularly useful and convenient in selected cases in which Russell traction could not be effectively employed. 6. In some of the complicated cases, open reduction and internal fixation, closed reduction with pin and plaster immobilization, or skeletal traction was employed.
