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http://www.hwbf.org/ota/bfc/wadd/exp.htm
Fractures will heal without surgery - sometimes. For the past 50,000 years that hominids have been present, in all but the last 100 years, their fractures healed without surgery. There is no question that we have had many a short legged, crooked armed, gimpy ancestor - but their fractures did heal and so there is an inherent biology in fracture care that has to be respected. Fractures want to heal. We must encourage them to heal in a functional position.
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http://www.hwbf.org/ota/bfc/wolin/exp.htm
Femoral neck fractures in the young adult are a different type of fracture than those seen in the elderly. These younger patients have normal bone density. A simple fall is not going to break the femoral neck. These fractures require high energy type injury mechanisms, and greater than 50% of the patients will have associated injuries as a reflection of the severity of their injury. The mechanisms is usually an axial load to the lower extremity with an abducted hip. The fracture pattern in these patients tends to be more vertical than in the elderly patient.
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