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June 19, 1897

COMPOUND COMMINUTED FRACTURE AT THE KNEE—REPORT OF A CASE.

Author Affiliations

SURGEON TO THE NEW YORK, CHICAGO AND ST. LOUIS RAILWAY. CONNEAUT. OHIO.

JAMA. 1897;XXVIII(25):1175-1178. doi:10.1001/jama.1897.02440250017001f

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Abstract

Compound injuries of the knee have at all times been considered most serious in character, more especially when complicated with fracture; in the latter the knife and saw have been considered indispensable, their absence fatal to the life of the patient.

Thus Erichsen (System of Surgery) in speaking of this class of injuries of joints, says: "This is more especially the case when the knee is the articulation injured; extensive laceration of this joint, more particularly complicated with dislocation or comminution of the bones, being cases for early amputation." Later Dr. Ashhurst (International Encyclopedia of Surgery) in discussing "Conditions calling for Amputation" places it more mildly by the remark, "Compound fractures into the knee joint may be considered a cause for amputation," yet when taken in connection with the text may almost be considered imperative.

Since the days of antiseptics, which may not inaptly be termed the New Surgical Dispensation,

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