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To the Editor:—
I noted Dr. William Bickel's comment in The Journal (Jan. 28, p. 341) on the use of hip screws for the treatment of fractured neck of the femur.I agree with his condemnation of the old type of screw of the Lorenz type in that it would produce distraction on absorption of the fractured area. There is a newly designed hip screw put out by Richards Company which permits retraction and obviates this problem. It also permits active compression of the fracture line. Ordinarily I have had no problem with its use as far as rotating the head of the femur is concerned. In one case I had a little difficulty when it became apparent that the screw was rotating the head. By releasing traction that had been applied to the leg on the fracture table for reduction, this disappeared and we were able to accomplish the
Francisco WD. Use of Screws in Fractured Neck of Femur. JAMA. 1961;176(8):744–745. doi:10.1001/jama.1961.03040210098018