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June 16, 1945

DEGENERATIVE ARTHRITIS OF THE HIP JOINTTREATED BY ONE OR TWO STAGE ARTHRODESIS WITH METAL FIXATION (WATSON-JONES)

JAMA. 1945;128(7):502-507. doi:10.1001/jama.1945.02860240028007
Abstract

Patients with unilateral degenerative arthritis (hypertrophic or osteoarthritis) of the hip joint often exhibit a degree of disability which may be relatively pronounced. This loss of function is primarily the result of pain referred from the region of the hip down the anterior and medial thigh to the knee joint. Muscle spasm producing flexion adduction contracture of the hip perpetuates a vicious cycle because of the resultant abnormal weight bearing on the extremity. While conservative treatment will consistently relieve the severity of symptoms, the results of such therapy have not been permanent. Indeed, usually sooner or later, and as a rule the former, symptoms recur, particularly if the patient is relatively active, as when engaged in a type of work that necessitates long hours of standing and walking about.

The most satisfactory results at the Lahey Clinic have been obtained with fusion of the involved hip, which in the past

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