OSTEITIS DEFORMANS (PAGET'S DISEASE)

Pathologic Fracture with Perfect Consolidation

¹ Assistant Professor of Orthopaedic Surgery, Northwestern University Medical School; Attending Orthopaedic Surgeon, Cook County Hospital; Junior Attending Orthopaedic Surgeon, St. Luke's Hospital, Chicago

In conclusion, the writer begs indulgence for the use of "hardware" in the operation of this case. He believes the end justified the means: viz—the perfect consolidation of a pathologic fracture in a bone having Paget's disease.

Note. On the basis of the results of the careful metabolic studies of Da Costa, et al., viz—a pronounced retention of Ca. P. and Mg. and a loss of S., it seems rational to administer the first three and eliminate from the diet the fourth, and the case here reported is added evidence in favor of their contention.

Comment. I believe the medication was very important in producing bony callus. In discussing this case with Dr. J. C. Bloodgood, he stated that it was the only case of pathologic fracture with union of which he had knowledge.

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