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November 8, 1919

Chronic Traumatic Osteomyelitis: Its Pathology and Treatment.

JAMA. 1919;73(19):1461. doi:10.1001/jama.1919.02610450057035

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This deals with the many difficult problems involved in the management of chronic traumatic osteomyelitis. The keynote of the book is thoroughness: a complete preoperative diagnosis, a thoroughgoing operation, and painstaking aftertreatment. Every phase of the disease, from beginning to end, is carefully considered, and the logic of each step in treatment is made clear by exposition of the pathologic condition it is intended to correct. We might desire a more critical discussion of the subject of bone regeneration, and much of value has been left unsaid concerning the classification, pathogenesis and roentgenologic diagnosis of bone sequestrums. As an example, it may be pointed out that a bone sequestrum, being dead, is avascular and does not undergo absorption; the surrounding living bone becomes atrophic from disuse and as a result of the inflammatory reaction; in addition, the sequestrum either lies in a lake of pus or is embedded in granulations;

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