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Journal of Bone and Joint Surgery, 1935;17:727-738.
© 1935 by The Journal of Bone and Joint Surgery, Inc

TREATMENT OF FRACTURED NECK OF THE FEMUR BY AXIAL FIXATION WITH STEEL WIRES

DAVID R. TELSON M.D. and NICHOLAS S. RANSOHOFF M.D., F.A.C.S.

The subcutaneous-wire-fixation method has the following advantages:

1. General anaesthesia is dispensed with. This is of paramount importance in the age group in which this type of fracture is frequently found.

2. The threat of hypostatic pneumonia and decubitus is not present, as it is where plaster fixation is used.

3. Absolute fixation of the fragments is maintained. This is true where, despite the drilling of the fragments, aseptic necrosis of the neck takes place. In these cases, as is seen in the roentgenograms, the distal fragment slides along the wire maintaining its apposition to the capital fragment. This is not true in plaster fixation, where, as crumbling of the neck takes place, the shaft fragment rides upward.

4. The method is simple, atraumatic, requires no incision, and is easily carried out even in the patient's home if the x-ray facilities can be supplied.

Submitted on December 20, 1934


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