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Wheeless' Textbook of Orthopaedics

Modified functional bracing in the ambulatory treatment of femoral


shaft fractures in children. Cheng-JC; Cheung-SS; J-Pediatr-Orthop. 1989 Jul-Aug; 9(4): 457-62 AB: Thirty children aged between 2 and 10 years with fractures of the femoral shaft were involved in a prospective study of a treatment method that requires a short period of traction followed by full weightbearing with a modified hinged functional brace and return to school after an average of 32.5 days. At an average follow-up period of 2 years, no case has shown residual angulation or rotational deformities greater than 10 and 15 degrees. No shortening was demonstrated. Overgrowth of the fractured femur was common, with a maximum of 1.5 cm. No strong correlation between overgrowth and age, site, and type of fracture was found. Results were uniformly good for proximal, middle, and distal third fractures.



Original Text by Clifford R. Wheeless, III, MD.