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In 1955, Walter Blount published his classic textbook Fractures in Children (Baltimore: Williams and Wilkins). His clear descriptions of nonsurgical techniques defined the standard of care for the next 25 years. This 276-page textbook, with its memorable illustrations of nonsurgical procedures, was read and reread by orthopedic surgeons who cared for children with musculoskeletal injuries. Illustrations of radiologic studies reminded readers of the remarkable potential for bone to remodel in children even when displaced fractures were treated without anatomical reduction.
During the 1980s, however, a new standard of care for the management of fractures in children began to evolve. Studies
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