A study of this series of patients forces us to conclude that fractures of the neck of the femur in childhood are serious injuries. Maintenance of reduction in the Whitman cast is difficult. Perhaps a nail would be more effective, but, again, will it damage the epiphyseal plate? One should be alert to the fact that growth changes are to be expected. The disturbances in growth in this series of patients do not conform to the classic picture of Legg-Calve-Perthes disease. Oblique subtrochanteric osteotomy is helpful in bringing a limited are of motion into useful planes.
(C) 1940 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.