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March 16, 1940


JAMA. 1940;114(11):1005. doi:10.1001/jama.1940.02810110071025

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To the Editor:—  In The Journal, February 10, in the London letter there appears under the caption "Treatment of War Fractures by the Closed Method" a discussion of a report by Dr. Trueta before the Royal Society of Medicine. In this report is described a method of treating compound fractures which one would gather is supposed to be something new. According to the London letter, in the discussion "the president of the section of surgery, Mr. Cope, described it as momentous and bidding fair to revolutionize a most difficult war problem."The mechanical disinfection-closed plaster cast treatment of compound injuries has been well known and widely used in this country since its description by H. Winnett Orr, of Lincoln, Neb., and since the publication of Orr's book (Osteomyelitis and Compound Fractures, St. Louis, C. V. Mosby Company, 1929) it has been adequately described in a number of places (Bickham, W. S., and Smyth, C. M., Jr.: Operative Surgery, Philadelphia, W. B. Saunders Company, 1933, vol. 7; War-basse, J. P., and Smyth, C. M., Jr. : Surgical Treatment, Philadelphia, W. B. Saunders Company, 1937, and in a number of

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