Osteo-arthritis of the hip-joint

Ostéotomie intertrochantérienne de translation interne selon McMurray

“…Historique D6s 1935, McMurray publiait dans le British Journal of Surgery un article intitul6 <~ Osteoarthritis of the hip joint >~ [1]; il y d6crivait une ~ ost6o-tomie de bifurcation selon Lorentz >~ effectu6e chez 15 patients, dont 12 retiraient un soulagement salutaire de la douleur. En 1939 [2], il pr6sentait les r6sultats obtenus chez ses 42 premiers op6r6s, en insistant sur l'importance d'un d6placement interne complet du fragment distal en dedans; car il pensait que le soulagement de la douleur r6sul-tait du court-circuit de l'articulation dans la transmission du poids du corps sous forme d'un transfert direct du bassin au f6mur distal.…”

The Role of Surgery in Treatment of Arthritis of the Hip

“…Subtrochanteric osteotomy . A great deal of experience has been gained with this operation, first popularized by McMurray (2), and it remains a very popular procedure. The femur is divided obliquely upwards and medially at the level of the lesser trochanter and the distal shaft is displaced medially on the proximal fragment.…”

The Arrest of Early Primary Osteoarthritis of the Hip by Osteotomy

“…The essential stimulus that switches the cellular activity from anarchy over to order would appear to consist of two factors: (1) Complete division of the upper end of the femur, (2) some change of alignment between the two fragments. These are the factors common to every type of osteotomy in daily use, no matter what master is followed- McMurray (1935), Malkin (1936), Pauwels (1959) or Blount (1952).…”

“…The Results ofLate Osteotomy with External Splintage When the late Professor T P McMurray (1935) and Mr Alan Malkin (1936) introduced osteotomy into Great Britain and Australia with their separate reports, the operation was usually performed for advanced cases with a poor range of movement and with deformity obviously requiring correction. On the whole early cases were avoided, and indeed we know that the late Professor Bryan McFarland (1954) at one time regarded a mobile hip-joint and a good long femoral neck as definite contra-indications.…”