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December 30, 1944


Author Affiliations


From the Shriners Hospital for Crippled Children.

JAMA. 1944;126(18):1146-1149. doi:10.1001/jama.1944.02850530024006

Our purpose in this paper is to popularize a simple surgical procedure which we have found to be of great value in solving the problem when in children one leg is enough shorter than the other to produce immediate or probable future disability. Since Phemister's1 important article reporting the original conception was published eleven years ago, and as other articles discussing the complicated bone growth problem and still others reporting uncertain end results from his operation have appeared, it is felt that a discussion of the procedure would be justified after doing over two hundred and fifty epiphysiodiaphysial fusions in which few difficulties or complications have been encountered.

We wish to call attention to three important points which we feel should be emphasized in order to dispel some of the apprehension existing relative to the performance of this so-called irretrievable operation.

First of all we will describe briefly a

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