A quick twist was manually applied to the femoral neck, breaking the remaining intact cancellous trabeculae, effectively completing the fracture.
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Biomedical subjects
Publications and source records attributed to W M Deyerle.
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The use of full-thickness iliac bone grafts shaped into cigar and cigarette forms in the treatment of nonunion of the femoral neck and idiopathic avascular necrosis of the femoral head was studied. Results of 36 operations (18 hips in each category) were classified according to pain, range of motion, function, and roentgenographic appearance. Follow-up with a two-year minimum revealed that bone grafting contributed to a successful result in the nonunion group with 17 hips uniting. Thirteen hips with avascular necrosis, however, showed progression of disease and were classified as failures. In light of these results, bone grafting in the treatment of idiopathic avascular necrosis must be questioned.
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A retired teamster with abdominal pain and anemia was found to have lead intoxication presumably due to and old bullet in his ankle. Most lead particles within the body need not be removed. Lead solubility characteristics exemplified by this case cuase us to recommend that bullets and lead particles facing synovial spaces should be removed.