Injuries and diseases of the hip : surgery & conservative treatment / by Fred H. Albee ; assisted by Robert L. Preston.

  • Fred H. Albee
Date:
1937
Catalogue details

Licence: In copyright

Credit: Injuries and diseases of the hip : surgery & conservative treatment / by Fred H. Albee ; assisted by Robert L. Preston. Source: Wellcome Collection.

    95/326 page 71
    (.mi IH‘in.1 (<>]x>ic't i« (issue, a 11<I is nol so rr;i<lil\ \ asi ulai i/ed. \ I so, in (lie use' ol a lilii.il m all i m | >1 a 11 led into llie lemoi.il neck, we have noted in a study ol roentgenograms a much slowet adaptation ol the dense cortical hone to the spoil”} bed. as indic ated h\ larch 11 a I >c< n I i/at ion. We have not found it neccssarv to dowel the ”iall. I he use ol this rather ohloii” oralt m a round hole insures a suit” lit, Intlhei contributin'* to Inm fixation. We emplov a .> M inch chill hole to receive a o i all approximatelv inch in width and .> , inc h in thic kness, the ”ialt bein'* composed ol cortic al hone, approximately l , inc h to .‘fiS inc h in thic k ness, and if, inch of cancellous hone. Ihe cancellous hone is sullu ientlv vielclin” to permit firm impac tion into the bed. The average length ol the bone oralt employed is 2 1 /> inc hes. I lie troc hantei ic delect made b\ reniov in” the ”rail Irom the external aspect ol the' leintii is firmly repaired at the end ol ci o h t weeks as in the healiii” ol a pel it roc hanterir liar lure. No muscle attachments are disturbed and the lateral contours ol the troc hanter are nol altered.'' I ul hoi's Comment. It is too earl \ to determine the true value- ol this method. Mv reac lion, based upon an inadecpiate experience with the opei at ion, howev er, is that the approach in tlun subjec ts is undoubtedlv a lavorahle one. In stout sub jeers I have lound in one instance that it produced a verv deep wound, and in that case I would have far preferred the anterioi Smilh-Petersen approac h. I o he- sure the- <»ralt contains a lari>e amount ol cancellous hone: but bv the same token, however, its streii”lh is jiroporlionalelv fatally di¬ minished. I rom a vciv extensive ex|)erience in the use ol the pc;j, in both Iresli and untmited Iraclnres. I have been impressed with the value ol the strength ol the ”talt. 1 he rc-adiness ol the vascularization ol the compac t bone content ol a ”i alt when ac c uralelv implanted by automatic shapiii” electrical tools, howcvei. has been underest imated, and thus Irom this standpoint, the cancellous nature of Jones' ora ft loses Us si”iiilic anc C-.
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