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Treatment of Fresh Fractures of Neck of Femur with Intramedullary Stem Prostheses

Treatment of Fresh Fractures of Neck of Femur with Intramedullary Stem Prostheses Abstract Fractures of the neck of the femur in aged people in poor general condition have in many cases continued to offer a poor prognosis. It is not the purpose of this paper to present the various mechanical factors that serve to fracture a hip, nor is it to call to attention the methods of diagnosis of a fractured neck of the femur. All this is very well known. Our primary purpose is to report our experiences in 45 selected cases of fresh fracture of the neck of the femur treated by the insertion of an intramedullary metallic stem prosthesis. In most of our cases the patient was considered too old or too feeble or too fragile and the fracture to be such that in our opinion the interest of the patient would best be served by not treating him by the conventional hip-nailing. A few of the patients were treated References 1. Peterson, L. T.: Hip Prosthesis , South. M. J. 47:1169 ( (Dec.) ) 1954.Crossref 2. Horwitz, I. B., and Lenobel, M. I.: Artificial Hip Prosthesis in Acute and Nonunion Fractures of the Femoral Neck: Follow-Up Study of 70 Cases , J. A. M. A. 155:564 ( (June 5) ) 1954.Crossref 3. Committee: Straus, L. R.; King, D. E., and Lambert, C. N.: Symposium on Femoral-Head Replacement Prostheses, Based on the Report of the Committee for the Study of Femoral-Head Replacement Prostheses as Printed in the October (1954) Issue of the Bulletin , J. Bone & Joint Surg. 38-A:407 ( (April) ) 1956. 4. Duncan, G. A.; Hollins, G. G., Jr., and Thiemeyer, J. S., Jr.: Further Experiences with the Femoral Head Prothesis in Fractures and Arthritis of the Hips , Virginia M. Month. 82:349 ( (Aug.) ) 1955. 5. Day, P. L., and Hinchey, J. J.: Treatment of Certain Subcapital and High Neck Fractures of the Femur by Primary Prosthetic Replacement , Clin. Orthop. 6:27, 1955. 6. Peterson, L. T., and Raad, M. A.: Treatment of Fracture of the Hip with Prosthesis , M. Ann. District of Columbia 24:233 ( (May) ) 1955. 7. Thompson, F. R.: Indications and Contraindications for the Early Use of an Intramedullary Hip Prosthesis , Clin. Orthop. 6:9, 1955. 8. Bradford, C. H.; Kelleher, J. J.; O'Brien, P. I., and Kilfoyle, R. M.: Primary Prosthesis for Subcapital Fractures of the Neck of the Femur: Preliminary Report , New England J. Med. 251:804 ( (Nov. 11) ) 1954. 9. Peterson, L. T.: Fractures of the Hip: Treatment Including Prothesis , West. J. Surg. 63:18 ( (Jan.) ) 1955. 10. Moore, A. T.: Metal Hip Joint: A New Self-Locking Vitallium Prosthesis , South. M. J. 45:1015 ( (Nov.) ) 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Treatment of Fresh Fractures of Neck of Femur with Intramedullary Stem Prostheses

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280180117017
Publisher site
See Article on Publisher Site

Abstract

Abstract Fractures of the neck of the femur in aged people in poor general condition have in many cases continued to offer a poor prognosis. It is not the purpose of this paper to present the various mechanical factors that serve to fracture a hip, nor is it to call to attention the methods of diagnosis of a fractured neck of the femur. All this is very well known. Our primary purpose is to report our experiences in 45 selected cases of fresh fracture of the neck of the femur treated by the insertion of an intramedullary metallic stem prosthesis. In most of our cases the patient was considered too old or too feeble or too fragile and the fracture to be such that in our opinion the interest of the patient would best be served by not treating him by the conventional hip-nailing. A few of the patients were treated References 1. Peterson, L. T.: Hip Prosthesis , South. M. J. 47:1169 ( (Dec.) ) 1954.Crossref 2. Horwitz, I. B., and Lenobel, M. I.: Artificial Hip Prosthesis in Acute and Nonunion Fractures of the Femoral Neck: Follow-Up Study of 70 Cases , J. A. M. A. 155:564 ( (June 5) ) 1954.Crossref 3. Committee: Straus, L. R.; King, D. E., and Lambert, C. N.: Symposium on Femoral-Head Replacement Prostheses, Based on the Report of the Committee for the Study of Femoral-Head Replacement Prostheses as Printed in the October (1954) Issue of the Bulletin , J. Bone & Joint Surg. 38-A:407 ( (April) ) 1956. 4. Duncan, G. A.; Hollins, G. G., Jr., and Thiemeyer, J. S., Jr.: Further Experiences with the Femoral Head Prothesis in Fractures and Arthritis of the Hips , Virginia M. Month. 82:349 ( (Aug.) ) 1955. 5. Day, P. L., and Hinchey, J. J.: Treatment of Certain Subcapital and High Neck Fractures of the Femur by Primary Prosthetic Replacement , Clin. Orthop. 6:27, 1955. 6. Peterson, L. T., and Raad, M. A.: Treatment of Fracture of the Hip with Prosthesis , M. Ann. District of Columbia 24:233 ( (May) ) 1955. 7. Thompson, F. R.: Indications and Contraindications for the Early Use of an Intramedullary Hip Prosthesis , Clin. Orthop. 6:9, 1955. 8. Bradford, C. H.; Kelleher, J. J.; O'Brien, P. I., and Kilfoyle, R. M.: Primary Prosthesis for Subcapital Fractures of the Neck of the Femur: Preliminary Report , New England J. Med. 251:804 ( (Nov. 11) ) 1954. 9. Peterson, L. T.: Fractures of the Hip: Treatment Including Prothesis , West. J. Surg. 63:18 ( (Jan.) ) 1955. 10. Moore, A. T.: Metal Hip Joint: A New Self-Locking Vitallium Prosthesis , South. M. J. 45:1015 ( (Nov.) ) 1952.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1957

References