PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: VII. CONDITIONS INVOLVING THE SHOULDER, NECK AND JAW

Lesions of the Scalp.  —Kelly²⁹⁶ records 2 cases in which total avulsion of the scalp was treated by replacement, with successful results. He states that the requisite points for the accomplishment of this end are to keep the avulsed skin cool and moist and to prepare the replaced skin by meticulous removal of the subcutaneous tissues and fat with a razor or a sharp scalpel. It is felt that the use of cool isotonic sodium chloride solution over the entire exposed area as well as over the avulsed scalp increases the survival time of the living tissues. He further presents cases of avulsion of skin elsewhere, as from the index finger, the lower half of the patella and the second finger. The results were successful in all cases when the avulsed skin was denuded in the described manner before replacement. The literature concerning avulsions of the scalp (scalping) is