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Journal of Bone and Joint Surgery, 1973;55:1581-1599.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Closed Reduction and Early Cast-Brace Ambulation in the Treatment of Femoral Fractures

PART II: RESULTS IN ONE HUNDRED AND FORTY-THREE FRACTURES

JOHN F. CONNOLLY M.D.1, ERNST DEHNE M.D.2, and BRUCE LAFOLLETTE M.D.3

1 Vanderbilt University School of Medicine, Nashville, Tennessee 37232
2 R. E. Thomasen General Hospital, El Paso, Texas 79905
3 Tripler Army Medical Center, APO San Francisco, California 96438

In 143 femoral fractures treated by closed reduction, early application of a cast-brace, and ambulation, the incidence of non-union and malunion was 0.7 per cent; of shortening of more than two centimeters, 13 per cent; of symptomatic loss of knee motion, 5.4 per cent; of refracture, 2 per cent; and of pulmonary emboli, 3 per cent. The method was found to be especially suited for the primary treatment of distal fractures, comminuted mid-shaft fractures, and open fractures, but was also useful for the management of infected, ununited fractures in conjunction with standard bone-grafting procedures. Transverse fractures in the mid-third and proximal-third could be managed successfully by this method provided the surgeon observed the alignment closely, maintaining the position of the fragments by ancillary procedures as needed.


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