Burwell H N
Postgrad Med J. 1969 Sep;45(527):617-21. doi: 10.1136/pgmj.45.527.617.
A series of 133 fractures of the shaft of the femur in children (during the first 12 years) is discussed. The injury is much more common in boys. The highest incidence is in 3-year-old children. A gentle reduction is desirable and anaesthesia is rarely necessary. In the age group under consideration ½ in. of shortening in reduction is desirable; angulation should be avoided. Initial immobilization in younger children on Bryant's traction and in older children on a Thomas' splint has been found satisfactory. The application of a plaster spica after 2 or 3 weeks allows the child to return home and in this way saves hospital beds. Physiotherapy is not required. Complications should be avoided particularly with good nursing care but regular observation for vascular impairment (particularly after traffic accidents) is necessary. The management of this injury is usually uncomplicated and provides good experience for junior medical staff under supervision.
本文讨论了133例儿童（12岁以下）股骨干骨折。这种损伤在男孩中更为常见。最高发病率出现在3岁儿童中。理想的做法是轻柔复位，很少需要麻醉。在该年龄组中，复位时缩短½英寸是可取的；应避免成角。已发现年幼儿童采用布赖恩特牵引、年长儿童采用托马斯夹板进行初始固定效果令人满意。2至3周后应用髋人字石膏可让患儿回家，从而节省医院床位。无需物理治疗。应避免并发症，特别是要有良好的护理，但必须定期观察有无血管损伤（特别是在交通事故后）。这种损伤的处理通常并不复杂，能为接受监督的初级医务人员提供很好的经验。
