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May 4, 1907


Author Affiliations


JAMA. 1907;XLVIII(18):1499-1501. doi:10.1001/jama.1907.25220440031001h

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In this brief paper it is my intention again to call attention to a procedure which in my experience has proved of great utility in the management of these most troublesome and often fatal cases. I shall not take up the pathology of traumatic gangrene, but shall confine myself to a consideration of its treatment. By the term traumatic gangrene as herein used is to be understood that variety of gangrene following severe crushing injuries of the extremities complicated by virulent and often rapidly fatal sepsis.

On referring to the literature we find all authorities agree as to the extremely high mortality of this affection, Cheyne and Burghard giving it as high as 95 per cent. All authorities likewise agree that the only treatment of cases of this class is early amputation above the gangrenous area.

How often are we able to determine accurately the limits of the disease, particularly

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