The procedure is undoubtedly less frequently indicated or employed than in the past, since other measures have been devised which require a shorter period of confinement; also, since the general use of internal fixation, the percentage of bony union in fresh fractures has been materially increased. However, in young and middle-aged vigorous individuals, before there is absorption of the neck, a better functional result can be secured by the bone graft than by any other method which has been evaluated at the present time.