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Original communication| Volume 13, ISSUE 1, P55-61, January 1943

Resection of femoral neck with pelvic support osteotomy for ankylosis of the hip

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      Abstract

      An operative procedure for the treatment of hip ankylosis is presented. In principle, the operation consists of two separate operations performed in successive steps: the first stage, the Lorenz bifurcation osteotomy, undertaken in order to insure stability of the hip; the second stage, release of the hip by resection of the femoral neck or head, is performed when bony union following the osteotomy has occurred. This combination affords the opportunity of satisfying both primary requirements of hip function, stability and mobility. It can be employed in cases where the classical types of arthroplasty cannot be employed. The operation is relatively free of shock, and can be carried out at intervals that require relatively short periods of enforced hospitalization. Each of the steps in the operation is simple and does necessitate the refinements of organization that formal arthroplasty makes essential.
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      References

        • Milch Henry
        Epiphyseal Pseudo Arthrosis.
        J. Bone & Joint Surg. 1942; 24: 653
        • Milch Henry
        The Pelvic Support Osteotomy.
        J. Bone & Joint Surg. 1941; 23: 581