50 years ago in CORR: function fixation of femoral neck fractures; telescoping nail technic. William K. Massie MD. CORR 1958;12:230-255.

摘要

This month's symposium is devoted to the biomechanics of fracture healing. The importance of ensuring proper mechanical conditions for fracture repair has been known since antiquity: the ancients empirically knew motion impaired healing and a certain amount of immobilization was required for healing. Sir W. Arbuthnot Lane, one of the pioneers in internal fixation (and one of whose articles we republish in this issue [2]) recognized the importance of obtaining "absolute fixation of the fragments" to "yield better results than methods which fall short of this..." [1]. A half-century later, William Massie was another pioneer in the development of fracture fixation when he introduced a sliding hip nail [3]. Massie reviewed the history of internal fixation of hip neck fractures and emphasized the two major complications: nonunion and osteonecrosis. The former related in large part to the failure to achieve proper mechanical conditions and the latter to injury to the blood supply to the femoral head either from the injury or the treatment.