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The treatment of a fracture of the neck of the femur is always a source of anxiety to the surgeon. In many instances the diagnosis is attended by unusual difficulties and not infrequently a fracture of this kind is overlooked, even after what appears to have been a thorough examination, while at other times, for want of a correct diagnosis, patients have been submitted to a long and debilitating treatment when no fracture existed. Patients suffering from this injury are with few exceptions advanced in years and liable to succumb to complications incident to prolonged confinement in bed. The marantic changes in the tissues of the aged and in persons rendered prematurely old by hereditary or acquired causes are known to be antagonistic to a rapid repair of such an injury, while at the same time the anatomical conditions at the seat of fracture are such as are well calculated
SENN N. THE TREATMENT OF FRACTURES OF THE NECK OF THE FEMUR BY IMMEDIATE REDUCTIO AND PERMANENT FIXATION. JAMA. 1889;XIII(5):150–159. doi:10.1001/jama.1889.02401040006002
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