During the past five years, 380 patients who had fractures of the hip were admitted to the fracture service of the St. Louis City Hospital No. 1; 214 of these were trochanteric fractures and 166 were fractures through the neck of the femur.
The routine treatment for the trochanteric fractures has been suspension and traction in a Hodgen splint, and this method can be depended on to give a satisfactory result with bony union in good functional position in from eight to twelve weeks in those patients who survive. As will be mentioned later, our mortality in trochanteric fractures has been 37.7 per cent.
In the fractures through the neck of the femur neither the large abduction plaster-of-paris spica nor the treatment by traction has given satisfactory results in our hands. Consequently we have sought a method which we could use that would increase the percentage of union in these
ROWLETTE A, HASLEM JR, SIEGERT RB, MORRIS HD, KEY JA. RESULTS OBTAINED BY SUBCUTANEOUS PINNING OF FRACTURES THROUGH NECK OF FEMUR. JAMA. 1936;107(20):1610–1614. doi:10.1001/jama.1936.02770460012004
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