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November 1950


AMA Arch Surg. 1950;61(5):890-891. doi:10.1001/archsurg.1950.01250020898010

REGARDLESS of the surgical method employed to obtain an arthrodesis, whether by an intra-articular or an extra-articular attempt or a combination of both, it is often difficult to decide clinically that firm lasting bony union has occurred. One may at operation employ careful paring away of cartilage surface with exposure of freshened bone, apposing surfaces in light contact or assuring kissing coaptation by fixation with screw, nail, bone transplant or any other method. Some surgeons do not stop to turn the head of the femur out of the hip joint to pare the cartilage and trim the fibrous capsule but simply ignore this step and rely on close fixed approximation to the acetabular surface by metal pin or screw driven well into the ilium. Drs. Dickson and Diveley, of Kansas City, now add high oblique trochanteric osteotomy held by pin and angled plate to correct axial support and insure bony

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