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November 8, 1952


JAMA. 1952;150(10):1032-1033. doi:10.1001/jama.1952.03680100074026

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Intracapsular Fractures of the Femur.  —At a meeting of the Neapolitan Society of Surgery Professor Del Torto reported on treatment of intracapsular fracture of the femur with Moore's technique. He advocated the necessity for an exact reduction in fractures of the neck of the femur, described the classical techniques for obtaining such reduction, and affirmed that in most cases the plaster is not sufficient and an osteosynthesis is necessary, using a triflanged nail like that of Smith-Petersen or a screw like that of Putti. The problem of coaptation can thus be considered solved from the mechanical point of view, but the same cannot be said of the biological point of view. The metallic device often causes osteolysis, owing partly to the difficulty of alimenting the fragment of the head of the femur and partly to the pressure of the weight on the two ends of the nail or the screw,

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