Fracture of the shaft of the femur is the cause of prolonged total disability and all too frequently of a severe permanent disability. Because of the long period of total disability and the severe economic burden imposed by this injury there have been constant efforts to develop methods of treatment which will shorten enforced recumbency and thus lighten the financial strain of this injury. The objectives of these technics have been to effect recovery in the shortest possible time and at minimal cost.
My purpose in this paper is not to criticize any technic or procedure as that technic is practiced by its originators or employed by those highly skilled in its use but rather to show the results which accrue from the promiscuous use of procedures which require high skill and special armamentarium in the hands of an average group of surgeons. The stanchest champion of internal fixation of
McKEEVER FM. FRACTURE OF THE SHAFT OF THE FEMUR IN ADULTSEVALUATION OF METHODS OF TREATMENT. JAMA. 1945;128(14):1006–1012. doi:10.1001/jama.1945.02860310020005
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