The procedure described should be limited to older patients who have degenerative or traumatic arthritis of the hip. Marked aseptic necrosis, and a wide disparity of configuration between the head of the femur and the acetabulum, are definite contraindications.
A vitallium screw placed through the acetabulum and into the head of the femur adds greatly to the stability secured by the Smith-Petersen nail. If there is motion in the hip at the end of the operation, this will increase as the patient moves about. To ensure complete stability, the nail must penetrate the thick part of the acetabulum.
This procedure provides immediate hip fixation and allows the patient to be up two weeks after operation.