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The question as to whether operative procedure is indicated in fractures depends on a variety of circumstances and conditions. It may be necessary to fix the fractured parts immediately, or at some future time, to correct faulty or delayed union. The indications for operation are:
1. Certain simple fractures which cannot be treated satisfactorily by means of splints, extension, etc., i. e., oblique fractures of the leg or forearm in which both bones are fractured.
2. Compound fractures.
3. Fractures which are irreducible, i. e., certain serrated fractures or those in close proximity to joints.
4. Fractures which show abnormal position where accurate reposition has not been secured and in which there is fibrous, delayed or faulty bony union. The question of operation is a much-debated point, some very able surgeons going so far as to advocate operative procedure in fractures of all long bones, regardless of the position of
SHERMAN WO. OPERATIVE TREATMENT OF FRACTURES: REPORT OF FIFTY-FIVE CASES IN WHICH LANE BONE PLATES AND SCREWS WERE EMPLOYED. JAMA. 1912;LVIII(21):1557–1561. doi:10.1001/jama.1912.04260050233001
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