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February 16, 1935


JAMA. 1935;104(7):583. doi:10.1001/jama.1935.02760070065027

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To the Editor:—  I note in the paper by Drs. Howard and Christophe on the treatment of intracapsular fracture of the hip at the Massachusetts Memorial Hospitals (The Journal, Dec. 15, 1934, p. 1833) that the purpose is to compare the end results of treatment by the "abduction double spica of Whitman with those of the traction methods of Ruth and Peckham." This suggests the following comments:

  1. That there is no "Whitman double spica," since I have never used such an appliance.

  2. That the abduction treatment is quite independent of the external appliance. It is in essence the utilization of anatomic mechanics to correct deformity and to oppose and fix the fragments. The function of ⅕ external splint is simply to support the limb in the altitude that assures the anatomic fixation; namely, complete abduction, complete extension and slight inward rotation. For this purpose plaster of paris is

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