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Article
November 10, 1923

COMPOUND FRACTURES OF LONG BONES OF THE EXTREMITIES: A REPORT OF THE TREATMENT AND RESULTS ATTAINED IN SEVENTY-FIVE CASES

Author Affiliations

Assistant Surgeon, Employees' Hospital FAIRFIELD, ALA.

JAMA. 1923;81(19):1604-1605. doi:10.1001/jama.1923.02650190034011

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Abstract

These cases are reviewed merely to call attention to certain points in the technic which should be considered of vital importance. The seventy-five patients in this series are at present earning their livelihood at their ordinary occupation as before injury, or at some lighter occupation, depending on the results obtained. The series covers a period of three years.

It is of interest to note that in the seventy-five cases reported, it was necessary to amputate in only two, once because of a slowly developing gangrene, and the other on account of nonunion with painful ankylosis of the ankle joint.

In every case it was considered that conservation was thoroughly justified so long as a limb could be secured that the patient could walk on or use without pain, regardless of ankylosis. I considered that any limb in which fair function could be accomplished would be superior to any artificial appliance.

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