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May 1, 1909


Author Affiliations


JAMA. 1909;LII(18):1378-1381. doi:10.1001/jama.1909.25420440006001b

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The treatment of tuberculous-joint disease has long been a disputed question, and the profession is not today agreed on a uniform plan of action.

Many methods of treatment have been advanced and these methods have been supported and resupported by long series of statistics and by thoroughly credible reports of results.

When the complete review has been made it seems to me that we must conclude that there is no one correct line of treatment for tuberculous-joint disease, but that the method selected must depend on the nature and stage of the lesion, the age and social position of the patient, facilities for treatment, the individual experience of the physician in charge, or that results must be accomplished by a combination of all available methods.

Treatment by rest, diet and in favorable hygienic conditions, by Bier's congestion hyperemia, by iodoform injection, by vaccine therapy and by cutting operations must each

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