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• W2022985933 abstract "In both primary and secondary replacement arthroplasty for subcapital fractures of the femur, the mortality rate which we observed has been almost three times less than any reported in the literature for a similar large group of subcapital fractures which were treated by reduction and internal fixation. We realize that this mortality rate may be lower than will occur in the future, because many of these patients received prosthetic arthroplasty primarily in deference to their poor general condition and probable inability to benefit from reduction and internal fixation of subcapital fractures. Including postoperative complications, our end results have been twice as good with the Judet prosthesis and six times as good with the Moore-Thompson type replacement as those reported in several large studies of subcapital fractures treated by reduction and internal fixation in which the incidence of non-union and necrosis, early or late, has been about 50 per cent. Therefore, we are encouraged to expand the use of primary replacement of the femoral head in the more severe types of subcapital fractures, and to lower the age candidacy to include patients in the sixth decade of life. With the exception of late secondary replacement where abundant viable neck exists, we would not recommend the use of the Judet prosthesis. If the Judet type reconstruction is attempted, the Vitallium prosthesis should be used and only by those who are most experienced and skilled in the intricate and exact technicalities of its application. Although we are encouraged by our findings (Fig. 6), we recognize the need for intensive investigation of all types of subcapital fractures in an effort to find improved methods for saving the femoral head and obtaining union by reduction and internal fixation. It is our hope that further investigation will define the indications for primary replacement of the femoral head in those cases which would be doomed to failure by efforts at reduction and fixation. Certainly no such criteria is presently available in the literature." @default.
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• W2022985933 title "The use of intramedullary prosthetic replacement in fractures of the femoral neck" @default.
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• W2022985933 doi "https://doi.org/10.1016/0002-9610(60)90023-4" @default.
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