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Considering that coaptation of fragments in fractures of the olecranon is not easily obtained by manipulation, the maintenance of the fragments is frequently an impossibility, and the treatment by splints or casts is frequently followed by ankylosis or impairment of motion, I have come to the conclusion that operative treatment is the most advisable. On the other hand, the exposure of the elbow joint appears to me to be dangerous. The open treatment that Lord Lister applied to fractures of the patella, and which is practiced to a great extent today in England, does not appeal to me in the case of fractures of the olecranon. I have always feared to open a joint, even under the greatest aseptic precautions, for we all know that the liabilities of infections in a joint are greater than those in the peritoneum. Therefore, the subcutaneous and exarticular wiring of the olecranon seemed to
MURPHY JB. FRACTURES OF THE OLECRANON TREATED BY SUBCUTANEOUS EXARTICULAR WIRING. JAMA. 1906;XLVI(4):257–258. doi:10.1001/jama.1906.62510310019002a
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