Total hip replacement--past, present and future.
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Biomedical subjects
Publications and source records attributed to G K McKee.
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Dislocation of the lunate bone in the wrist is one of the more common carpal injures. An epidemic of these injuries during the war led to a simplified method being developed. The usual reduction can be tiring and difficult because of the sustained traction required. These problems were overcome by the simple method of the surgeon's forearm working in front of the patient's forearm so that with interlocked fingers considerable mechanical advantage and sustained traction could be employed, leaving the other hand free for direct pressure on the dislocated bone. Reduction was achieved by this method in a bilateral case that had been missed for a week.
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The early experience with total prosthetic replacement of the hip from the making up of the first models in 1940 and the actual insertion of a small series in 1951 is described. The introduction of modified designs and the teething troubles experienced with them is dealt with, including the use of acrylic cement as a grouting agent in 1960 and finally the manufacture of a specially made femoral component in 1965. Since then minor improvements have been made in the design of the artificial hip joint itself, and also modifications in the operative technique. The main indications are shown from an analysis of a series of 300 cases in which this procedure has been used. As the success of the operation has become established the scope of the operation has been extended and the age group reduced.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.