Correction by Growth of Rotational Deformity After Femoral Fracture in Children

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Abstract
Fourteen children with femoral shaft fractures were studied for 10 years after fracture or until growth plate closure, using repeated anteversion measurements. A mean anteversion difference of 9.6 degrees between the fractured and intact sides after fracture consolidation decreased to 5.6 degrees (p < 0.01), indicating that children have a considerable ability to correct a rotational deformity by growth, especially during the first years after fracture. It was also found that tibial pin traction results in a greater rotational deformity than does bilateral Bryant traction.