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The use of the Minneapolis prosthesis was abandoned about 1955 by its originators, who had used it without acrylic for uncomplicated fractures of the femoral neck. This is the first report of its use with 'cement' fixation. It has been found to be very useful and reliable for arthroplasty of the hip in 57 patients with carcinomatous or other severe destructive lesions in the trochanteric region of the femur, being more convenient and easier to use than alternative prostheses and especially valuable in metastatic disease. Technical points relating to operative techniques are described, and postoperative Hamilton-Russell traction is recommended.