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August 18, 1923


Author Affiliations

Onaway, Mich.

JAMA. 1923;81(7):548. doi:10.1001/jama.1923.26510070002010b

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Case 1.  —V. R., a girl, aged 8, was scalded by boiling water during the spring of 1922. The wound had healed with much cicatrization of the elbow and the adjacent portions of the arm, and with almost complete fixation in flexion of the elbow. May 7, 1923, I removed about a square inch of scar tissue contiguous to the healthy skin, and dressed the wound daily with surgical paraffin (parresine—Abbott), after the usual method used for burns. The defect filled in and became smoothly epithelialized in two weeks. Under general anesthesia, I then removed the main portion of the scar over an area of 20 square inches, including the anterior surface of the elbow, thus severing the tissue fixing the elbow and allowing the arm to be straightened and splinted in full extension. In two weeks, most of the defect was filled in and epithelialized. The splint was then

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