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In a considereble number of joint lesions of the extremities dependent on trauma or various pathologic conditions, our resources are often taxed in an endeavor not only to relieve our patient as promptly as possible, but also to restore the full functional use of the limb. It is our aim, further, in our management of the case to be quite certain, whatever we do, not to leave a condition possibly worse than what we find.
Of late years the shibboleth has been "rest, rest," immobilization and fixation, or the free and almost indiscriminate employment of the scalpel.
Rest, or the support of an injured joint is indispensable in a considerable number, but as the panacea some would have us believe, it is a fallacy. By surgical operations, the aid of anesthetics and aseptics very many limbs and lives have been saved which formerly were lost, though even here every unbiased
MANLEY TH. ON THE LOCAL ABSTRACTION OF BLOOD IN THE ARTHROSES OF THE EXTREMITIES.. JAMA. 1897;XXIX(16):773-774. doi:10.1001/jama.1897.02440420007002a