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January 20, 1906


Author Affiliations


JAMA. 1906;XLVI(3):178-186. doi:10.1001/jama.1906.62510300012002d

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THE AFTER-TREATMENT OF FRACTURES TREATED BY THE ABOVE METHODS.  After the operation the patient's temperature should be carefully recorded, and on the first indication of sepsis—rise in temperature combined with localized pain of a dull, throbbing character—a window should be cut in the plaster-of-paris dressing at the site of the operation and the wound inspected. If sepsis is present, it may be recognized by the usual signs. The skin sutures should then be removed and adequate drainage instituted. Irrigation with a mild solution of bichlorid of mercury or a normal salt solution, should be performed twice daily. Sepsis should not occur with any more frequency than in operations on other parts of the body. When the subjective signs show that healing by first intention is taking place, the dressing should not be disturbed until the seventh to the tenth day, when a window may be cut in the plaster-of-paris dressing,

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