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- W2017201404 abstract "1.1. The necessity for considering fractures of the shaft of the femur as major surgical emergencies is stressed, with special reference to the treatment of elderly patients and children. 2.2. The anatomy of the femur and its attached muscles is considered briefly and the typical deformities of fractures at varying levels outlined. 3.3. The essential factors in establishing the diagnosis of a fracture of the shaft of the femur are enumerated. 4.4. Adequate emergency treatment for the fresh femoral fracture is emphasized and a plea made for the education of laymen regarding such treatment. 5.5. The two major principles of treatment of fractures of the femur are: 5.1.a. Immediate reduction and fixation in plaster. 5.2.b. Reduction by means of continuous traction applied to either the skin or the skeleton. 6.6. Campbell's method for immediate reduction and fixation in plaster is recommended. 7.7. Continuous traction methods are more generally utilized since they require less specialized skill in application. The techniques of the Russell extension apparatus and of traction-suspension in a Thomas splint with skin and skeletal traction are briefly described. 8.8. Despite the definite advantages of ambulatory methods of treatment the relatively complicated apparatus and techniques required, as well as the limited number of cases so treated, cause reluctance to recommend such methods for general use. 9.9. Bryant's extension apparatus is ideal for children under six years of age. Above that age skin adhesive traction with a Thomas splint, or the Russell apparatus, is the method of choice. 10.10. The importance of physio-therapy, especially in the early stages of fracture treatment, is emphasized. Constant heat of low intensity, light stroking massage and guided active motion are suggested as the best forms of physio-therapy. 11.11. Rating the results of femoral fractures according to anatomical, physiological and economic criteria, together with a follow-up system extending beyond the period of treatment, will permit a more accurate determination of the end-results and efficiency of various forms of treatment." @default.
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- W2017201404 date "1937-12-01" @default.
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- W2017201404 title "Non-operative treatment of fractures of the shaft of the femur" @default.
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- W2017201404 doi "https://doi.org/10.1016/s0002-9610(37)90489-6" @default.
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