[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.90.95. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
March 1937

THE MANAGEMENT OF COMPOUND FRACTURES

Author Affiliations

Associate Professor of Clinical Surgery, New York Post-Graduate Medical School and Hospital, Columbia University NEW YORK

Arch Surg. 1937;34(3):527-534. doi:10.1001/archsurg.1937.01190090152007
Abstract

The management of compound fractures is by no means standardized. The methods of treatment are many and varied, although fundamentally the principles are the same. No one method is applicable to all compound fractures. Before deciding on the procedure, consideration must be given to the location and type of fracture, to the condition of the patient and of the wound and to the posttraumatic time factor.

In 1794 Weldon1 wrote that the "principles in the management of compound fractures" were:

1. To stop hemorrhage.

2. To reduce the bones to their proper situation.

3. To bring every part of the wounded surface into close contact with its opposite surface.

4. To retain both the bones and soft parts in their proper situation until they are united.

5. To moderate the violence of the inflammation.

These principles still hold good.

THERAPY  A compound fracture is an emergency and requires immediate

First Page Preview View Large
First page PDF preview
First page PDF preview
×