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Journal of Bone and Joint Surgery, 1945;27:578-586.
© 1945 by The Journal of Bone and Joint Surgery, Inc

BRITTAIN ISCHIOFEMORAL ARTHRODESIS

ROBERT A. KNIGHT M.D.1 and MICHAEL M. BLUHM M.D.1

1 Willis C. Campbell Clinic, Memphis

1. The Brittain ischiofemoral arthrodesis performed under complete roentgenographic control is simple, safe, extra-articular, and results in successful arthrodesis of the hip in a high percentage of cases.

2. Six of ten hips treated by this method and followed for a minimum of eleven months have fused. All of the failures can be attributed to errors in technique, rather than to failure of the method itself.

3. The Brittain method is especially applicable to children with tuberculosis of the hip, since consolidation of the osteotomy and revascularization of the graft occur rapidly, and the operation can be done in children who would not tolerate a more difficult and shocking procedure.

4. Our experience with this method in adults has not been sufficient to permit an opinion as to its value, although Brittain has successfully employed it in adults.


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