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KMID : 0360919680110080677
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Journal of the Korean Medical Association
1968 Volume.11 No. 8 p.677 ~ p.680
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CLINICAL OBSERVATION ON THE OVERGROWTH OF THE FEMUR FRACTURE IN THE CHILDREN
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金俊/Kim, Jun
金熙德/金炅洙/金洪泰/Kim, Hi Duk/Kim, Kyung Soo/Kim, Hong Tae
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Abstract
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There has been poor documentation of the generally accepted fact that there is an overgrowth of the femur following fracture in, children. The cause of this overgrowth is thought to be "a compensatory effect" or "a certain physiological" response."
This paper is to present a report of clinical observation on the overgrowth of femurs following fracture in 74 cases of children who had been managed at Taegu Presbyterian Hospital during the. period of 1960 to 1967.
The age of patients varied from 2 months to 15 years (average 5.9 years) and the majority of the cases sustained a simple, rnidshaft fracture of the femur. All cases were treated conservatively using traction followed by application of a cast (hip spica) or by casting alone.58 cases were followed for periods varying from 4 months to 7 years (average 1 year and 7 months). All cases obtained a satisfactory bony uniRemodelling of the fracture took place in every. case and in some cases it was even hard to recognize the original site of fracture at the end of a year from the time of injury.
34 cases were subjected to special leg length studies(Physical examination and X-ray studies including scanograms) for evaluation of exact length of overgrowth.
These cases showed a varying degree of overgrowth from 0.3 to 1. 8 cm: (average 0.9 cm.). More overgrowth was observed in those cases with the greater degree of fracture displacementand overriding and particularly in those cases with refracturing.
In summary, it was concluded that in fractures of the femur in children, approximately one centimeter overgrowth can be expected and should be taken into consideration during reduction and traction measures.
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KEYWORD
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