March 1954


Author Affiliations

From the Department of Orthopaedics, University of Virginia Hospital.

AMA Arch Surg. 1954;68(3):374-378. doi:10.1001/archsurg.1954.01260050376016

THE UNSOLVED FRACTURE  IN 1934 Kellogg Speed used the term "the unsolved fracture" in a discussion of the intracapsular fracture of the neck of the femur. Since that time so many changes have been made that Dr. H. R. McCarroll1 has considered this to be a suitable time to review his experiences and to restate the problem as it exists today.Internal fixation is the method that is almost universally accepted as the preferred procedure in the early treatment. In McCarroll's series of 203 cases, aseptic necrosis occurred in 60 and nonunion in 50; hence, the results leave much to be desired despite the fact that the fracture may be seen early, accurately reduced, and adequately pinned.Some type of reconstructive procedure is called for if a complication such as aseptic necrosis, displacement of fragments, or nonunion occurs. In this study the results obtained by employing reconstructive methods were

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