An external fixator is very difficult to apply, especially in the thigh in which the delicate tissues are deep And so the pins rub over the muscle. Traction is safe but can take many weeks with the affected individual languishing in a clinic mattress. A plaster or brace can be nearly impossible to fit into a thigh so which the fracture might be held.

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three The fracture is open up and potentially contaminated. The wound should thus be opened and cleaned. All contaminating materials really should be washed out, and useless tissue excised. Whether it is not possible to be sure that the wound is clear, then it should not be shut.

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