The Smith-Petersen Nail

Robert G. Thompson, MD
JAMA. 1967;199(3):223. doi:10.1001/jama.1967.03120030127038.
Text Size: A A A
Published online


To the Editor:—  In reviewing the article, "Slipped Capital Femoral Epiphysis," by Drs. Aufranc, Jones, and Turner (198:546, 1966), which was the FRACTURE OF THE MONTH, I was struck by the fact that apparently there are a few surgeons in this country who are still using Smith-Petersen nails to fix a slipped capital femoral epiphysis internally. The ensuing complication, distraction of the epiphyseal head by the nail, happens all too frequently with this type of internal fixation. I was also surprised at Dr. Aufranc's comment, "I think the choice of fixation device is less important than the skill with which the device is employed."It is quite obvious to me and others who have had any experience with the treatment of slipped capital femoral epiphysis, that any type of nail such as the Smith-Petersen, which has to be pounded into a small, hard femoral neck, risks lifting the femoral


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.