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October 6, 1917


Author Affiliations


JAMA. 1917;LXIX(14):1143-1150. doi:10.1001/jama.1917.02590410021006

In presenting this paper I cannot include all fractures, nor all of the details of any one fracture. I have selected certain conventional methods usually employed in every day practice, and I shall attempt to show that those methods are defective, and with each defect I shall submit my reasons for calling them defective, in each incident supplying what I consider a correction of the defective method. In other words, I believe there are sound logical reasons that explain bad results in treating fractures, and I also believe that better and more consistent results will follow better methods. The better methods, at least, are logical, they are consistent with the unalterable laws of nature, and they are approved by physicists and mechanical engineers.

By directing my first attack on the popular use of the weight and pulley in treating broken femurs, I shall bring to light the absurdity involved in

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