Salter page 545
Displaced fractures of the femoral shaft are common in childhood and merit special consideration. Usually involving the middle third of the femur, the fracture may be transverse, oblique, spiral, or even comminuted depending on the mechanism of injury. Even with significant displacement of the fragments, at least part of the strong periosteal sleeve remains intact, a point of considerable importance to treatment as well as to healing of the fracture.
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