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August 20, 1892

THE TREATMENT OF COMPOUND FRACTURES.Read in the Section of Surgery and Anatomy at the forty-third Annual meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

JAMA. 1892;XIX(8):213-215. doi:10.1001/jama.1892.02420080007001b

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Abstract

The injuries of bone are classified as: simple fracture, compound fracture, complicated fracture.

What are the indications when called to treat a case of compound fracture?

To arrest the hæmorrhage, as far as possible; to render the wound aseptic, and to prepare to set the fracture.

The second indication: to keep the bones in normal position. The third indication: to conduct the case so as to prevent putrefaction, and to remedy septic infection when it has occurred.

I suppose we all admit the cause of putrefaction to be, the presence of microörganisms which enter the wound from without, and that the putrefactive fermentation of the discharges leads directly to septic infection; hence, any essential part of the treatment of wounds must be to prevent the entrance of these organisms.

To conduct a case so as to prevent the changes referred to we must ever bear in mind that germs are

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