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May 1940


Author Affiliations

From the Fracture Service of the Cook County Hospital, the Department of Surgery, University of Illinois College of Medicine, and the Department of Surgery, Loyola University.

Arch Surg. 1940;40(5):844-852. doi:10.1001/archsurg.1940.04080040026004

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The present treatment of so common an affliction as a compound fracture has to a certain extent reached a fixed stage. As with any fracture, factors (such as shock, hemorrhage, or cerebral injury) which threaten the life of the patient must be attended to before anything more than immobilization of the fracture by the simplest means is attempted. Ideal débridement with immobilization until union has occurred is recognized as utopian. The proper technic of débridement, however, and the proper treatment of the wound after débridement are still points of debate, and it is these points which are to be investigated in this study. Numberless essays have been presented dealing with the treatment of compound fractures, each citing the method particularly favored by the writer, with a list of his favorable results as supporting evidence of the superiority of the method discussed. These authors vary from those who would recommend sewing

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