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November 1951

COMPLICATIONS OF INTRAMEDULLARY FIXATION OF FRACTURES OF THE FEMUR

Author Affiliations

SAN ANTONIO, TEXAS; MEDICAL CORPS, UNITED STATES ARMY
Dr. Stuck died on March 21, 1950.; From the Orthopedic Service, Brooke Army Hospital, Brooke Army Medical Center, Fort Sam Houston, Texas.

AMA Arch Surg. 1951;63(5):675-686. doi:10.1001/archsurg.1951.01250040689016
Abstract

A GROWING popularity for intramedullary treatment of femoral shaft fractures is indicated by the increasing number of medical articles and views on the subject in this country. While complications may occur, most are avoidable, and in spite of them, there is a real justification for this trend because the patient is returned to a physiological state and to normal activity at an earlier date. The majority of these possible complications may be avoided by properly selecting the cases, overcoming errors in technique, and insuring adequate after-care.

This paper is based on an analysis of the difficulties encountered in treating 70 fractures of the shaft of the femur with intramedullary fixation since May, 1948, at Brooke Army Hospital, Fort Sam Houston, San Antonio, Texas.

COMPLICATIONS  The first group of complications may be largely avoided by special consideration in selection and treatment.

Telescoping of Fragments of Comminuted Fractures.  —This can be prevented

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