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19Tracks Album titled “Recovery (Deluxe Edition) Zip” by Eminem is a must listen to download his album for free. Eminem - Recovery (Deluxe Edition).Femoral Neurogenic Fractures in the Young: A Prospective Study of Treatment and Functional Outcomes.
We sought to determine functional outcomes and rates of surgical treatment for femoral neurogenic fractures in the young. Patients younger than 21 years old with closed, nontraumatic femoral neurogenic fractures were prospectively followed for a minimum of 18 months. A total of 116 patients were enrolled in the study. The median age of the patients was 15 years (range, 3-20 years), and the median follow-up time was 3 years (range, 0.2-14.5 years). The most common mechanism of injury was motor vehicle accident in 49% (n = 58). Other common causes of injury were sports-related injuries (24%) and falls (25%). Fifty-seven percent (n = 68) of patients sustained a single injury, whereas 14% (n = 17) sustained more than one injury. Anatomical femoral neck fracture was the most common fracture type (n = 86; 76%). Open reduction and internal fixation was performed in 88% (n = 103) of the patients. The mean operating room time was 113 ± 38 minutes (range, 55-240 minutes). The mean estimated blood loss was 143 ± 68 mL (range, 25-400 mL). The overall rate of surgical treatment for femoral neurogenic fractures in the young was 89%. Despite a high rate of surgical treatment, patients were able to return to independent activities of daily living at a median time of 3 months. Fractures that were treated surgically were able to return to full weight-bearing status in a median of 3.5 months and achieve independent walking at a median of 3 months. In this largest cohort of femoral neurogenic fractures in the young, the rate of surgical treatment was 89% and patients were able to return to independent activities of daily living in 3 months. Our results compare favorably with other data available. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.Q: 0b46394aab
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