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February 13, 1904


Author Affiliations

Demonstrator of Surgical Pathology at the Harvard Medical School; Assistant Visiting Surgeon to the Boston City Hospital. (From the Surgical Laboratory of the Harvard Medical School. For the Division of Surgery, Harvard University.) BOSTON

JAMA. 1904;XLII(7):439-466. doi:10.1001/jama.1904.02490520029002

INTRODUCTION.  The object of this paper is to state the sequence of the changes which occur in the bones in infectious osteomyelitis; to emphasize the difference in the pathologic conditions which exist during the acute, subacute and chronic stages of the disease; and especially to suggest certain operations which are indicated by the pathologic conditions that exist during the different stages, and which generally are not appreciated. These operations, properly carried out, offer a very certain cure for conditions which, if allowed to persist, cause recurrent attacks of local infection or produce chronic and frequently incurable destruction of bone with permanent disability.The statements made here are based almost entirely on personal work carried on for the past eight years. The work has included examination of pathologic material obtained from operations or necropsies on cases occurring at the Boston City Hospital and the Children's Hospital, experimental work at Harvard Medical

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