In 1921, Whitman1 reported an operative procedure for ununited fracture of the neck of the femur which resulted in a stable, painless hip with satisfactory motion. This differed widely from bone pegging and the Brackett operations inasmuch as the femoral head was removed, the femoral neck placed into the acetabulum and the greater trochanter transplanted downward on the shaft. Four years later, Rechtman2 reported thirty-four cases from Whitman's service in which this operation had been performed. He broadened the indications to cover not only nonunion of fracture of the neck of the femur but also to include malum coxae senilis, quiescent tuberculous hip, acute epiphysitis and Charcot hip. In 1926, Armitage Whitman3 presented the late results in nine cases. His patients had an average motion of 45 degrees flexion and 10 degrees abduction. Four of these patients used a cane. All had diminished pain following the intervention.
LOWENDORF CS. WHITMAN RECONSTRUCTION OPERATION ON THE HIP JOINTAN ANALYSIS OF LATE RESULTS. Arch Surg. 1932;25(5):863–869. doi:10.1001/archsurg.1932.01160230046003
Customize your JAMA Network experience by selecting one or more topics from the list below.