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Article
January 12, 1907

TREATMENT OF FRACTURES OF THE NECK AND SHAFT OF THE FEMUR.

Author Affiliations

Orthopedic Surgeon to the Rhode Island Hospital and St. Joseph's Hospital. PROVIDENCE, R. I.

JAMA. 1907;XLVIII(2):127-131. doi:10.1001/jama.1907.25220280039001h
Abstract

I. FRACTURE OF THE NECK OF THE FEMUR IN ADULTS.  The treatment of the fracture of the neck of the femur in the old familiar way by weight and pulley, extension and a long T-splint, was always disappointing and the result was a more or less crippled condition of the patient, which remained for life. To be sure the trochanter would be pushed upward and make for itself a sort of socket in the soft tissues, which would tolerate some weight-bearing, but a crutch or cane was a necessity in the majority of cases. This was not the fault of the medical attendant, but rather of the method of treatment. A patient put up in this manner is far from being immobilized as regards the fracture.Every time the bed-pan is inserted, which is several times daily, the fragments are moved. If the body is turned at all for the

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