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W. K. WEST, M.D.
JAMA. 1927;88(4):219-222. doi:10.1001/jama.1927.02680300005002.
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This report gives the results of treatment in ten cases of fracture of the shaft of the femur in which adhesive traction in connection with a plaster spica was used. No compound fractures will be considered.

The points to be remembered in treating a fracture of the shaft of the femur are: (1) union; (2) length; (3) alinement; (4) apposition, and (5) resulting conditions of adjacent joints. In addition, there are such general considerations as the condition of the patient; the age of the patient; the condition of the skin; accessibility to a properly equipped hospital, and the training of the individual surgeon.

In recent years there has been a tendency toward operations in the treatment of these fractures. On account of the many tragic results following this procedure, the pendulum has swung back to the conservative method of treatment. The closed methods are being used in the greater percentage


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