An analysis of the fracture problem by committees making careful surveys in large groups of cases, during the past few years, has served to establish certain definite principles that must be followed, though methods for carrying out these principles will differ with surgeons according to their training and equipment. The final result, a return to function, may be equally good with widely variant methods.
In appraising a fracture one must see more than a broken bone. The ultimate goal, return to function, depends on the recovery of muscles and ligaments as well, for bones may unite in good position after rough handling, but the damage in soft tissue may be irreparable. A trained surgeon with the right conception of the problem will be able to reduce most fractures by manipulation or traction and direct the subsequent treatment for the patient's final recovery. It should therefore be the aim of the
CARRELL WB, GIRARD PM. REMOVABLE INTERNAL FIXATION IN FRACTURES. JAMA. 1931;96(9):670–673. doi:10.1001/jama.1931.02720350022005
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