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R. N. HATT, M.D.
Arch Surg. 1943;46(5):664-665. doi:10.1001/archsurg.1943.01220110080014.
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About two years ago there was presented before the American Academy of Orthopedic Surgeons a brief communication on the technic of using a central bone graft in arthrodesis of the knee or the ankle.1 The procedure was developed at the Springfield Unit of the Shriners' Hospital for Crippled Children in 1929, and at the time of reporting 10 patients so treated had been followed through their period of growth and the relative leg lengths were compared with those in a like series in which arthrodesis had been achieved by other methods, chiefly the Hibbs method.

The average age at operation was approximately 9 years, and the resulting inequality of leg length in both groups amounted to about 1 inch (2.5 cm.). Therefore, it appeared evident that a bone graft crossing the central part of the epiphysial disks did not arrest growth.

At the time of reporting these cases I


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