Journal of the Medical Society of New Jersey . tain positionof child and its approximate size. Outof these fifty deliveries I have lost threebabies. A TRAUMATIC HIP CASE OF IN-DUSTRIAL ORIGIN.* By John N. Bassin, , Rehabilitation Surgeon, Newark Beth IsraelHospital, I>ate Chief Surgeon N. J. StateRehabilitation Commission. Newark, N. J. Lorenz Hip Operation Modified toShorten Period of Temporary and De-crease Permanent Disability. Patient, a carpenter, 48 years old,crushed under a heavy shute, was takento a hospital with a dislocation of theleft hip complicated by multiple frac- *Report
Journal of the Medical Society of New Jersey . tain positionof child and its approximate size. Outof these fifty deliveries I have lost threebabies. A TRAUMATIC HIP CASE OF IN-DUSTRIAL ORIGIN.* By John N. Bassin, , Rehabilitation Surgeon, Newark Beth IsraelHospital, I>ate Chief Surgeon N. J. StateRehabilitation Commission. Newark, N. J. Lorenz Hip Operation Modified toShorten Period of Temporary and De-crease Permanent Disability. Patient, a carpenter, 48 years old,crushed under a heavy shute, was takento a hospital with a dislocation of theleft hip complicated by multiple frac- *Reported and demonstrated before theSurgical Section of the Academy of Medicineof Northern N. J., March, 1922. tures of the pelvis. Discharged fromthat institution after several months tohome on crutches and a high shoe forthe foot of the unreduced dislocated ex--tremity. Examination revealed a 4^shortening an adduction contracture de-formity, patient unable to sustain theslightest degree of weight upon the af-fected member, sufifered of great pain. Before Operation. constantl}, especially when attempting toaccommodate the hip in sitting or re-clined position, sleep was impossiblewithout opiates. Shadowgraph con-firmed the osseous distortions of the pel-vis and hip, the acetabulum ablated theacetabular fossa reduced to a mere shellthe dislocated femoral head resting up-ward and backward upon the illium. After an unsuccessful attempt at man-ual reduction under anaesthesia thehead neck trochanters and upper 2 ofthe shaft were exposed through a 12incision. The destroyed acetabulum nowoffered but scant success for an expectedarthrodisis and as the femoral headhad already found a firm support in anewly formed fibroplastic pseudocap-sule, the Lorenz principle suggested it-self Avith modifications. This was not anideal case for the fork operation with anangular osteotomy much below the less-er trochanter ; the sharp edge of the low-er fragment not being safe for repositioninto a vestige of
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
