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November 29, 1902


JAMA. 1902;XXXIX(22):1380-1385. doi:10.1001/jama.1902.52480480022001e

Six per cent, of all fractures being through the neck of the femur, giving as a result nonunion in the majority of cases with useless limbs, renders the subject of enough importance to justify its consideration in the light of all the latest attainable information.

There is nothing to be gained by attempts to differentiate between intra-extra-capsular and mixed varieties, for when not impacted their management to be successful can differ in no essential particular. Diagnosis is rarely attended with difficulty, the assemblage of symptoms being characteristic. This is. however, not true in the penetration or impaction cases when immediate diagnosis may be impossible or methods to obtain it unjustifiable. In such cases the diagnosis will usually be cleared in a few days by loosening of the fragments or the impaction remains permanent and insures a good result barring complications in themselves serious. Our leading surgical authorities inform us that

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