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Article
November 27, 1915

MODERN TREATMENT OF FRACTURES OF THE LONG BONES FROM THE ORTHOPEDIC POINT OF VIEW: WITH CLINICAL OBSERVATIONS AND CONCLUSIONS

Author Affiliations

DES MOINES, IOWA

JAMA. 1915;LXV(22):1895-1897. doi:10.1001/jama.1915.02580220035011
Abstract

The treatment of fractures of the long bones has been given much attention during the past few years, by the general and orthopedic surgeon, relative to the closed and open methods and the use of nails, wire, plates and bone grafts. No matter how scientific and modern the work, and how successful the results obtained, it is absolutely necessary that the bones be immobilized and held in position by some kind of mechanical appliance whether the treatment be open or closed, or both. As orthopedic surgeons give more attention to the latter than surgeons do, it would be but natural to conclude they were as able, if not more so, to do such work with better clinical functional results.

The direct fixation of compound fractures, when the bones are exposed and cannot be held in position by splints, has come into general use by surgeons of large experience, but when

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