EXPERIENCES WITH THE BRITTAIN ISCHIOFEMORAL ARTHRODESIS

¹ Orthopaedic Department of the College of Medicine, University of Cincinnati

Of six patients witim tuberculous hip joints upon whom the Brittain ischiofemoral arthrodesis was performed, osseous fusion developed in four within from seven to nine months. In one case, wit postoperative extraneous complications, fusion is apparently taking place after one year. In one adult, a painful, disabling traumatic arthritis of the hip was healed by osseous fusion in four months. Additional patients * upon whom this operation has been performed are showing every evidence of a similar high percentage of osseous fusion.

Time Brittain ischiofemoral arthrodesis ideally combines an intertrochanteric osteotomy, which allows temporary joint rest, and an inferiorly placed strut graft; healing occurs under compression stresses, rather than tension stresses, as in the iliofemoral operations.

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