0
Journal Contents   |    
LATE END RESULTS IN UNUNITED FRACTURE OF THE NECK OF THE FEMUR TREATED BY THE BONE PEG OR THE RECONSTRUCTION OPERATION
FRED H. ALBEE
J Bone Joint Surg Am, 1928 Jan 01;10(1):124-143
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Abstract

The end results in 146 cases of ununited fracture of the neck of the femur were reviewed. Five were seen early, and treated with the Whitman abduction spica with excellent result. Thirteen cases had to be eliminated because of incomplete records. In forty-two of the remaining 128 cases, the bone peg operation was recommended; in fifty-three, the reconstruction operation. Six of the former refused operation, and nine of the latter, leaving a total of eighty patients operated on (thirty-six bone peg and forty-four reconstruction).

In ninety per cent. of the bone-peg operations the results were excellent or good, and in seventy-five per cent. of the reconstruction operations. The interval between the time of operation, and that of the last examination varied from a few months to fifteen years. Function is usually good within six months after operation. When we consider that ununited fracture of the neck of the femur is one of the most disabling of all traumatic lesions, and one of the most difficult problems in surgery because of the anatomicomechanical conditions and because of the erosion that has so often taken place before the surgeon is consulted, such end results are most encouraging.

Failure to take x-rays at the time of the accident, or the taking of x-rays in only one position accounts for many unfortunate cases of delay in correct diagnosis and treatment. The greater this delay, the greater the difficulty of the problem with which the surgeon is eventually confronted.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    06/29/2012
    PA - Thomas Jefferson University
    10/12/2011
    NY - Modern Chiropractic Care, P.C.
    10/04/2013
    CA - Mercy Medical Group
    02/10/2014
    IL - The University of Chicago's Department of Orthopaedic Surgery and Rehabilitation Medicine