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Article
October 10, 1953

HAS A SOLUTION FOR THE "UNSOLVED FRACTURE" BEEN FOUND?PROBLEMS AND COMPLICATIONS OF FRACTURES OF FEMORAL NECK

JAMA. 1953;153(6):536-540. doi:10.1001/jama.1953.02940230008004
Abstract

In a paper on fractures presented before the American College of Surgeons in 1934, Kellogg Speed used the title "The Unsolved Fracture" for discussion of the intracapsular fracture of the neck of the femur. He stated, "this fracture was chosen for discussion because for more than a century its treatment and the results have been a matter of controversy and inquiry among surgeons, and because, although the results obtained today show improvement, they are not at all comparable to those of other fractures." He advised treatment of this fracture by the Whitman1 method, which consisted of gentle reduction by traction, inversion, abduction to the degree indicated, and plaster immobilization. He added, however, that a few might prefer the use of early surgery, employing selected methods, in an attempt to minimize the period of immobilization and to avoid feared complications. Speed concluded that treatment of the fracture of the femur

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