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Every surgeon knows how necessary it is to secure apposition of the soft tissues in order that perfect union may follow. He also knows that by the judicious use of buried absorbable sutures and pressure he can avoid the dangers of dead space. There are some wounds where soft and bony tissues are both involved; for example, an excision of the elbow, in which it is impossible to avoid dead space, because it is necessary to keep the cut bone ends separated to prevent bony union, and in which it is not practical to fill the gap with the soft tissues. Under perfect conditions, Schede's method of allowing the space to fill with blood clot will yield favorable results, but, unfortunately, perfect conditions seldom obtain. This blood clot is the very thing we are trying to avoid when we try to obliterate dead space, because it is such a good culture medium and is so liable to end in suppuration.
MOORE JE. THE TREATMENT OF BONE CAVITIES. JAMA. 1905;XLIV(20):1582–1584. doi:10.1001/jama.1905.92500470010001a
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