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Article
October 1933

PERIARTERIAL SYMPATHECTOMY IN FRACTURESAN EXPERIMENTAL STUDY

Arch Surg. 1933;27(4):658-675. doi:10.1001/archsurg.1933.01170100032003
Abstract

One of the essential factors in the healing of any fracture is a good and free supply of blood. This was first emphasized by Hilgeneiner,1 Bier1 and others, who advised the institution of measures to promote passive hyperemia in an effort to increase the variable phenomena usually present in all fractures. Leriche2 has shown that following any injury, a reflex vasoconstriction occurs which is soon followed by vasodilatation about the area of the initial trauma. If, however, a periarterial neurectomy or a ganglionectomy is performed, the primary contraction of the involved vessels is followed within a few hours by a vasodilatation of the arterial tree and a marked increase in the blood volume. If these procedures produce an active hyperemia, they should then have a field of usefulness in the treatment of certain groups and types of fractures. Much experimental work has been recorded in recent years

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