- The first step of making thin paper used to beat gold into thin leaf business was that bamboo growing to in Dazaunmoun: month must be chosen and having one year age in Nadaw month, must be cut. The boiled bamboo thin strips were placed with limestone one upon another in a row and added with water in glazed earthen jar with cover and applied mortar and were fully covered for three years, by which time dried water, often filled with it. After taking bundle of bamboo strips for three years or four years last, lime stones was dirty all over on bamboo strips, were washed with water. Damp and sticky bamboo hearth wood solids were pounded by buck deer wood pestle with teak mortar till total number of 3,000 to 3,300 times. The bamboo hearth wood solid will be put on a piece of cloth stretched taut over a frame to get 24 kyat or 22 kyat weight of an available paper. The tank was built of five feet long, 2½ feet wide and two inches thickness. The bamboo hearth wood liquid in cloth stretched taut over a frame was stirred by hand and leveled them with stickler (roller).Rubbish in bamboo hearth wood liquid were picked up by tweezers. The cloth stretched taut over frame, pressed water near its frame forward forcibly by flannel, was kept in the sun at an insinuating way of 45 degree of an angle. The flat-piece of an available paper was folded four rations to length. It was fixed on a flat wood cut-out of six inches long and bit by scissors. The scrap remaining after cutting paper, were dissolved in water and stretched taut a piece of cloth over a frame again. The bundle of available paper contained to 32 sheets totally. The bundle of 25 and 30 leaves had been scrapped, was folded in half and immerse in water for half an hour. Paper used to beat gold into thin leaf, was placed in deer water bag and put in by water for four hours and brought to a proper consistency and warmed.

The treatment of diaphyseal fractures of the femur, like that of fractures of other limb segments has evolved considerably since the last world conflict. Orthopedic treatment, long advocated as the sole therapeutic method, has been largely supplanted by surgical treatment, in particular stable elastic medullary anchorage (ECMES) developed since the nancial school in children over 6 years of age [1].

In sub-Saharan Africa, as in the Central African Republic (CAR), a developing country, the treatment of diaphyseal fractures of the femur remains in the majority of cases orthopedic considering the very low income of parents, pediatric surgeons in small numbers and the unavailability of osteosynthesis equipment. The ECMES technique was first tested in Bangui in 2005 at the Pediatric Complex at the surgical clinic.

In this context, the purpose of this work is to assess the results of the different treatment methods used in the service.