Abstract

Bryant's traction in children in whom the proper prerequisites are present, 90-90 traction for proximal third fractures in children over three, all shaft fractures in children between three and 10 years of age, and split Russell skeletal traction for those over 10 years of age are effective methods for treating femural fractures. Attention to detail is necessary to correct angulation and to obtain and maintain the appropriate amount of over-riding based upon age. Excessive over-riding, distraction, and unreasonable angulation cause functional disability that may require corrective surgery.

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