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Article
November 3, 1917

L'Appareillage dans les fractures de guerre.

JAMA. 1917;LXIX(18):1558. doi:10.1001/jama.1917.02590450078033

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Abstract

In this work the authors "have in view exclusively the immobilization of compound fractures produced by war projectiles." The theme is that the existence of the wound of the soft parts makes the problem complex because the apparatus applied should leave the wound uncovered in order to permit examination and dressing. The rule of practice laid down is that "with the exception of some cases of bullet wounds with punctiform cutaneous orifices in which operative abstention is permissible, because an aseptic progress of these cases is the rule, all cases of war projectile fractures at the present time ought to be the object of a complete methodical and thorough surgical intervention at the earliest possible moment. Such an intervention is prophylactic, the aim being to transform an infected wound into an aseptic wound."

Following this is a brief discussion of the proper method of opening up the fractured area and

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