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August 26, 1899


Author Affiliations

Professor of Descriptive and Surgical Anatomy in the Keokuk Medical College; and Clinical Surgery at St. Joseph's Hospital. KEOKDK, IOWA.

JAMA. 1899;XXXIII(9):519-521. doi:10.1001/jama.1899.92450610001001g

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Can the notoriously bad results following fractures of the femoral neck be improved ? We feel like answering unhesitatingly that they certainly can, and therefore should be. Explanations are numerous and plausible for the frequent occurrence of this accident in the old, especially women. The causes given for non-union are much less satisfactory. We may instance the following defects supposed to exist : Nature's provisions for repair by limited vaseularity, inefficient immobilization, insufficient extension force.

It is not my purpose to review extensively the literature of this subject, but to indicate more especially some of the reasons I consider most important factors in obtaining the unsatisfactory results thus far. In 1890 my attention was first called to what I have come to consider the correct anatomical treatment of these lesions, by Prof. T. J. Maxwell. The method was, I believe, original with him. He has used it for twenty-five years.

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