Abstract
1. The results in 211 fractures of the shaft of the femur in adults treated by internal fixation have been reviewed.
2. A comparison has been made between the effects of early internal fixation within the first six days of injury and delayed fixation.
3. Eighty-five fractures treated by early fixation gave a rate of non-union of 23 per cent; in 126 fractures treated by delayed fixation the rate was 0·8 per cent.
4. Delayed operation is therefore advocated for the majority of femoral shaft fractures for which internal fixation is indicated.
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