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December 1947


Arch Surg. 1947;55(6):650-659. doi:10.1001/archsurg.1947.01230080661002

TO ACHIEVE early motion is one of the main objectives in modern treatment of orthopedic problems. The method of simply immobilizing an injured member in plaster for a prolonged period is being replaced by various operative procedures which allow early motion and which are designed to accomplish the dual purpose of producing a satisfactory end result and at the same time preserving tone and function of the surrounding soft tissues.

SURGICAL PROCEDURES  The following examples of surgical procedures are submitted as designed to accomplish these ends. The illustrations and the cases referred to are taken from various series at the Presbyterian Hospital and the New York Orthopaedic Hospital in New York city.

Clavicle.  —Injuries causing ruptures of the conoid and trapezoid ligaments produce complete coracoclavicular and acromioclavicular separations, as shown in figure 1A. Various types of treatment have been proposed for this kind of injury, ranging from prolonged immobilization

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