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December 8, 1962

Acute Osteomyelitis-Reply

Author Affiliations

Vanderbilt University School of Medicine Nashville 5, Tenn.

JAMA. 1962;182(10):1059-1060. doi:10.1001/jama.1962.03050490083021

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To the Editor:—  We have read with interest Dr. Tronzo's letter concerning our report to the Council on Drugs entitled "Current Status of Therapy in Acute Osteomyelitis" which was recently published in The Journal and the article written by Drs. Tronzo and Dowling to which he refers. As stated in our paper, there exists considerable controversy concerning the indications for surgical intervention in acute osteomyelitis, and Dr. Tronzo's comments represent one side in this continuing debate. Arguments opposing surgical intervention early in acute osteomyelitis have been expressed by Altemeier and Helmsworth (Surg Gynec Obstet81:138 [Aug.] 1945), and by Self (Pediatrics 1:617 [May] 1948). This, coupled with the experience on the Pediatric Service at Vanderbilt University Hospital where good results have been obtained despite a conservative approach to surgical intervention, has led us to adopt a middle ground in our general recommendations. Most physicians agree that many patients with