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ARTICLE |

Bilateral Femoral Shaft Fractures

Otto E. Aufranc, MD; William N. Jones, MD; William H. Harris, MD
JAMA. 1963;185(4):309-313. doi:10.1001/jama.1963.03060040093030.
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ABSTRACT

Dr. C. B. Sledge: A 49-year-old physician was brought to an outlying hospital by police 10 min after he was involved in an automobile accident. Initial examination revealed a semiconscious patient whose blood pressure was 132/80 mm Hg. His pulse rate was 100 beats per min, and his respiration rate was 22 per min. There was no evidence of gross external bleeding, respiratory obstruction, or localizing neurological signs.

The patient's left thigh was deformed with an obvious fracture. The proximal left femoral shaft was visible, having pierced the skin, trousers, and overcoat. There was a closed fracture of the right femur and a deformity of the right knee. The right foot was contused and swollen with deformity of the medial four metatarsophalangeal joints. The right anterior chest was bruised and there was palpable crepitus in the region of the second to sixth ribs. Paradoxical motion was noted, but there was

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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