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Article
April 28, 1923

OPERATIVE TREATMENT OF CERTAIN FRACTURES OF LONG BONES

Author Affiliations

NEW YORK
From the Department of Traumatic Surgery, New York Post-Graduate Medical School and Hospital.

JAMA. 1923;80(17):1207-1210. doi:10.1001/jama.1923.02640440021006
Abstract

It is generally conceded that the "closed," or nonoperative, method of dealing with certain fractures is so unsatisfactory and uncertain that in selected cases "open" or operative reduction is justifiable. To avoid operating in that class of case in which closed reduction is impossible, resort is frequently made to skeletal traction by use of the tongs (calipers), a transfixion nail, or a metal band (stirrup).

This procedure of skeletal traction is, strictly speaking, an "open" or operative method; but, because the procedure is relatively simple, requiring a small incision, it is finding increasing favor and is properly regarded as an intermediate method between "closed" and "open" reduction. For the purpose of selecting a type of treatment in my own services we have for some time divided all fractures into two general "types," either of which may be simple (closed) or compound (open). Type 1 is that group in which the

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