July 2, 1932


JAMA. 1932;99(1):57. doi:10.1001/jama.1932.02740530059029

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To the Editor:  —I note that Dr. Magnuson, in his instructive paper on repair of ununited fracture of the neck of the femur (The Journal, May 21, p. 1791) employs what he calls the Brackett operation.The operation is, in substance, removal of the trochanter at its base, transplanting it to the outer border of the shaft, and inserting the denuded neck into a hollowed out head. This procedure has already been described by Allison and Henderson under the same misleading title.Brackett's operation is entirely different both in principle and in design. It was based on the proposition that the nutritive capacity of the trochanter was greater than in the neck fragment. He therefore removed the muscular attachments from the apex of the trochanter and apposed its rounded upper and inner extremity to the hollowed out head. Brackett's title was "operative transplantation of the femoral head to trochanter."It

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