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January 17, 1931


JAMA. 1931;96(3):210-211. doi:10.1001/jama.1931.02720290054025

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To the Editor:  —I have read Dr. J. J. Moorhead's paper (The Journal, November 15) on intracapsular fractures of the neck of the femur with interest, particularly because I disagree completely both with its premises and with its conclusions.Dr. Scudder, in the discussion, characterized the treatment of the fracture in preabduction days as chaotic. It seems to me that it might be better classified as standardized neglect, for it was generally conceded that treatment in accord with surgical principles was technically impracticable and hazardous as well as futile.The situation was completely changed by the introduction of the abduction method. By utilizing anatomic mechanics, the essentials of repair may be more uniformly assured at the hip joint than in any other region of the body. And now that the method has come into general use it has been clearly demonstrated by comparative statistics that the chief factor in nonunion

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