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December 1948

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: IV. FRACTURE DEFORMITIES HIP FRACTURES

Author Affiliations


Arch Surg. 1948;57(6):855-870. doi:10.1001/archsurg.1948.01240020865009

REICH135 summarized the treatment of ununited fracture of the femoral neck by various methods of osteotomy and reconstruction. The principle of treatment depends on the viability of the femoral head. Osteotomy or bone graft requires a viable head with suitable joint surface. If the head is necrotic, its removal is indicated. In such an instance arthrodesis or a Whitman or a Colonna reconstruction operation may be performed. Fixation of the osteotomy site with a Blount type of blade plate requires more extensive operation but eliminates the need for a cast.

[Ed. Note:  —The author, recognizing that these materials may act as undesirable foreign bodies, suggests that plates and screws "are potentially productive of postoperative infection."]Speed136 reviewed the treatment of fractures of the femoral neck and the technic of osteotomy for nonunion. He uses a guide pin. The osteotomy is performed above the lesser trochanter, and a

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