Excerpt from The Medical Record, Vol. 13: A Weekly Journal of Medicine and Surgery; January 5, 1878-June 29, 1878
With these facts before us, we shall understand that the indications of treatment differ considerably in the case of the adult and of the child. Surgical writers have not sufficiently considered these differences, but they have generally said, or left it to be inferred, that the same plan of treatment was applicable to both, and that the prognosis did not differ essentially. I do not think so. The indications are, in fact. In some sense reversed. For while in adults the first and most difficult indication is to overcome the Shortening occasioned by the obliquity of the fracture and the powerful action of the fully developed muscles, and the second is to keep the limb in line - here, in the case of children, the first and most difficult indication is to keep the limb in line, and the second is to over come the action of the muscles, or this second indica tion may not be present at all.
Let us look at the usual modes of treatment of broken thighs in children, and see whether they are suited to these changed conditions.
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