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Article
July 31, 1948

TREATMENT OF UNUNITED FRACTURES OF THE NECK OF THE FEMUR

Author Affiliations

Cleveland

From the Cleveland Clinic and the Frank E. Bunts Educational Institute.

JAMA. 1948;137(14):1199-1209. doi:10.1001/jama.1948.02890480019006
Abstract

As the other speakers in this symposium have pointed out, modern conceptions of treatment of fractures of the neck of the femur are focusing on the importance of elimination of shearing force on the fractured surfaces and of maintenance of circulation to the head in producing satisfactory results. The use of internal fixation has increased the number of cases in which union is obtained from about 50 to 80 per cent, but there is growing recognition that this method has not entirely solved the problems presented by intracapsular fractures, and increasing attention is now being paid to functional results. Nonunion results after simple nailing in about 18 to 20 per cent of cases, and atrophy of the head and arthritic changes also occur in another large group in which the fracture unites, so that treatment is actually unsuccessful from the functional point of view in about 35 to 50 per

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