Identifier: annalsofsurgery31philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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COXA VARA. 159 In this case there was evident depression of the neck of the femur,resulting in one-third of an inch shortening. The prophylactic operation of replacing the neck of the bonewas performed on November g. This operation is, of course, more likely to be successfulin childhood than in adolescence. In childhood the neck ofthe femur is short, and the strain to which it is likely to be sub-jected subsequently is slight; but in adolescence the part islonger and, as would appear from clinical histories, much lessresistant; thus, in certain cases of this type, if the affection iswell advanced, operative treatment should be deferred until theprogression of deformity has ceased. In the technique of this procedure there are several pointsof importance. First, all restriction of abduction, of ligamentousor muscular origin, must be overcome by vigorous manipula-tion before the operation on the bone, otherwise it will be diffi-cult to bring the two fragments into proper apposition. Theb

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