The advantages of open operation by the trochanteric bone-graft method may be summarized as follows:
(1). Early and accurate replacement of displaced fragments with assurance that no interposition of tissue exists.
(2). Bridging of the fracture line with an autogenous bone graft, providing firm internal fixation, the graft also acting as a calcium source for the healing granulation tissue (Murray).
(3). Early reestablishment of blood supply between the head and neck of the femur in an area where blood supply is minimal.
We particularly emphasize the conservatism of this method and the ease with which through a single incision the hip joint is widely exposed, an adequate bone graft is obtained from the trochanter as part of the operative approach, and the direction and position of the transplant is accurately determined.
(C) 1932 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.