Femoral neck fractures in young adults have a poor prognosis because the incidence of non-union and aseptic necrosis is high. We reviewed the results in twenty-seven consecutive patients with a femoral neck fracture who were younger than fifty years and who were treated with a standard protocol at Harborview Medical Center from 1975 to 1981. There were twenty-two male and five female patients, and they ranged in age from twelve to forty-nine years (mean, 32.4 years). Twenty patients were involved in high-velocity trauma and twelve of them had significant injuries to other organ systems. One of the remaining seven patients had sustained the fracture while running, and in the other six the fracture was associated with a metabolic disorder. Eight patients had a Garden Stage-II fracture; twelve, Stage-III; and seven, Stage-IV. The fractures were fixed with multiple 6.5-millimeter cancellous screws after adequate closed reduction, which was usually performed within eight hours after injury. All of the fractures united and there were no wound infections. Aseptic necrosis of the femoral head developed in five patients (20 per cent), three of whom had symptoms at the time of writing and will require surgical revision of the hip.

In 1988 the Morgan acquired the Morgan House. Situated on the corner of 37th Street and Madison Avenue, to the north of the Annex, it is the sole survivor of the complex of three residences originally built in 1852/53 for the Phelps, Stokes, and Dodge families, of Phelps-Dodge copper fame. In 1881, Pierpont Morgan purchased 219 Madison Avenue, the southernmost brownstone on the corner of Madison Avenue and 36th Street, as his own residence (demolished in 1928 to make way for the Annex). Morgan bought the central brownstone in 1903, which was then razed to make space for a garden, and a year later he purchased the northernmost house, at 231 Madison, for his son, Jack Morgan. With forty-five rooms, including twelve bathrooms, the house was one of the most impressive residences of its day. 


 The Morgan family lived in this house until Jack died in 1943, and then sold the brownstone to the Lutheran Church in America to serve as its headquarters. In 1957 the Church constructed a five-story office adjacent to the mansion. In the spring of 1988, it was purchased by the Library. During its forty-four year occupancy, the Lutheran Church carefully maintained the mansion's exterior structure, as well as the interior walls and adornments.


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(2) Shower facilities at a minimumof one operable shower for every twelve occupants. Water temperatures shall becontrolled thermostatically in a range from one hundred and five to one hundredand twenty degrees Fahrenheit.

It was pleasant to see a number of friends at that dinner. Among them Mrs. Abram Elkus and her daughter sat directly in front of me and Mrs. Garrison and Mrs. Walker from Llewllyn Park were not far away. I imagine there were others whom I was not able to identify. Secretary Perkins drove back with us after dinner and we left her at the Pennsylvania Station to take the midnight back to Washington. When we walked into our apartment it was twelve-forty-five! Up this morning and breakfasted at eight o'clock and caught a nine o'clock train for Erie, Pennsylvania where I am speaking tonight. 17dc91bb1f

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