Twenty intracapsular fractures Of the femur in children below 14 years
of age were reviewed. Gentle reduction was performed successfully in
the displaced fractures. Close apposition of fracture fragments was ma
intained in all cases with skeletal traction for a time depending on t
he patient's age, the displacement and the appearance of bridging call
us along the medial cortex of the femoral neck. Periosteal healing was
evident in the displaced fractures, even in cases of severe ischaemic
necrosis. This paper presents this phenomenon of initial external cal
lus repair, not previously reported in the literature, which indicates
the existence of functional periosteum of the femoral neck in childre
n.