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June 14, 1913

Lateral Incisions in the Treatment of Felons: A Warning

Author Affiliations


JAMA. 1913;60(24):1900. doi:10.1001/jama.1913.04340240060026

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To the Editor:  —In The Journal, May 10, 1913, p. 1416, is an interesting article by Dr. G. M. Dorrance on the treatment of felons by a coronal incision which separates the pulp of the finger from the subjacent bone. The free drainage afforded and the absence of any scar on the tactile area commend themselves.In a personal experience with a felon nine years ago the advantage of a lateral incision appealed to me, and under my direction an incision was made precisely similar to that advocated by Dorrance except that only a lateral half of the flap was raised. The operation was entirely satisfactory so far as it provided drainage and relieved pain, but an annoying loss of epicritic perception, which evidently is permanent, daily warns me of the disadvantages of the incision. Although the incision was made well to the side, the tactile area anterior to the

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