. Modern surgery, general and operative. Fig. 406.—Comminuted fracture of up-per third of femur. Fig. 407.—Epiphyseal separation of head of thefemur. held in plaster for six weeks (Annals of Surgery, 1915, Ixii). If a fractureof the femoral neck is found to have united in a deformity which is cripplingsubtrochanteric osteotomy is the treatment. Separation of the upper epiphysis of the femoral head (Fig. 407) is a veryrare result of accident; it occurs most often from disease. It is met with inearly youth, results in considerable permanent shortening, and perhaps in coxavara. Symptoms and Treat
. Modern surgery, general and operative. Fig. 406.—Comminuted fracture of up-per third of femur. Fig. 407.—Epiphyseal separation of head of thefemur. held in plaster for six weeks (Annals of Surgery, 1915, Ixii). If a fractureof the femoral neck is found to have united in a deformity which is cripplingsubtrochanteric osteotomy is the treatment. Separation of the upper epiphysis of the femoral head (Fig. 407) is a veryrare result of accident; it occurs most often from disease. It is met with inearly youth, results in considerable permanent shortening, and perhaps in coxavara. Symptoms and Treatment.—The symptoms are like those of fracture ofthe neck, except that the crepitus is soft. The treatment is as for fracture ofthe neck. Fractures of the Great Trochanter.—This is a very rare injury. Thereseem to be only 8 cases on record, but probably the diagnosis has been missed insome cases in which the fragment was held to the bone by periosteum. Thisprocess may be (i) broken off without any other injury. In some cases itis
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