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Article
March 20, 1920

A SUBSTITUTE FOR OPEN OPERATION IN SOME IRREDUCIBLE FRACTURES

Author Affiliations

Lincoln, Neb.

JAMA. 1920;74(12):801. doi:10.1001/jama.1920.26210120001012a

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Abstract

Pursuant to the surgical principle of accomplishing most in the least radical manner, we have resorted to a simple method of reduction in several cases of fracture in which open operation seemed obligatory.

The mechanism of the reduction is a lever in the form of a small, strong, steel probe acting between the displaced fragment ends and retained in situ by the plaster cast. It is resorted to under surgically aseptic conditions with anesthesia, while being observed under the fluoroscopic screen. The instrument is introduced through the iodized skin on the side of the extremity most remote from large vessels. Its end is guided by watching in both axes under the fluoroscopic screen. It is carefully placed between the fragments in such a manner as best to pry them back into apposition. Then when they are reduced, the instrument may be withdrawn; or, in the event of a recurrence of

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