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October 19, 1912


JAMA. 1912;LIX(16):1439-1440. doi:10.1001/jama.1912.04270100207008

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Having succeeded in reconstructing a tuberculous hip-joint so as to eliminate the disease and produce a new and apparently serviceable head on the femur, I desire to make a preliminary report on the operation and submit one case, which has demonstrated the feasibility of the procedure, with comments on others still under treatment.

An astragalus removed from a paralytic foot showed such striking similarity of contour, when held in certain positions, to the head and neck of the femur, and presented so large an articular surface (see illustration) that it suggested to me the possibility of using a portion of the bone as a graft to replace the femoral head when impaired by accident or disease.

CASE REPORT  June 18, 1912, at the City Children's Hospital, a girl of 8, who had for over two years been bedridden from tuberculous ostitis of both hips, was submitted to operation. An abscess

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