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January 16, 1967

The Smith-Petersen Nail

JAMA. 1967;199(3):223. doi:10.1001/jama.1967.03120030127039

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To the Editor:—  Unfortunately we do have cases in which threaded Knowles pins, wood screws, and other devices have been used, with essentially the same results seen in this article. Therefore, I see no reason to change my statement that the choice of a fixation device is less important than the skill with which it is employed.My experience with the problem of the slipped capital femoral epiphysis may not be so great as that of others, but I have not found adequate reasons for discarding the proper use of a ground-down and sharpened Smith-Petersen nail. (In the case presented, a normal-sized Smith-Petersen nail was used.) I have no quarrel with the use of any device or method, provided its damage to the head is minimized (there is always some damage done to the head regardless of the surgeon or the apparatus). The extent of the original displacement and the