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Article
August 1950

TREATMENT OF FRACTURES WITH LONGSTANDING OSTEOMYELITISResults of Use of the Tibial Sliding Graft

Author Affiliations

ANN ARBOR, MICH.

Arch Surg. 1950;61(2):379-386. doi:10.1001/archsurg.1950.01250020383019
Abstract

MUCH OF the literature to date dealing with the treatment of war fractures has described a high incidence of success with a low incidence of infection. However, most of the cases reported occurred early in the war. I was impressed by the high incidence of infection in patients treated in several army general hospitals in 1947 and 1948. This report includes observations on the treatment of fractures with long-standing osteomyelitis and specifically the results in 25 consecutive cases.

The patients included in this report were seen after the war was over and were treated in 1947 and the early part of 1948. Most of them sustained their fractures during the war and because of infection did not receive definitive treatment until later. In 25 consecutive cases of tibial fracture there was an average of 30.8 months from the occurrence of the injury to the time of the graft and in

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