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Journal of Bone and Joint Surgery, 1973;55:1600-1613.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Management of Fractured Femora in Acute Amputees

RESULTS OF EARLY AMBULATION IN A CAST-BRACE AND PYLON

JAMES H. HERNDON 1, VERNON T. TOLO 1, ALCIDE M. LANOUE 1, and PHILIP A. DEFFER 1

1 From the Amputee Service, Valley Forge General Hospital, Phoenixville, Pennsylvania

In a retrospective review, seventeen patients injured in Vietnam who sustained both a lower-extremity amputation and a fractured femur are reported. After an initial period of skeletal traction, early ambulation in a modified cast-brace and pylon was initiated for each patient. Average time to clinical union was twenty-two weeks. At the time of discharge, 50 per cent of the patients had an arc of motion in the involved knee of 75 degrees or more. No increased angulation occurred in the cast-brace when properly used. Shortening was not significant. Rehabilitation of these severely injured patients was felt to be improved and shortened with the described techniques.


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