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April 1949

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XV. TUBERCULOSIS OF BONES AND JOINTS

Author Affiliations

From the New York Orthopaedic Dispensary and Hospital.

Arch Surg. 1949;58(4):546-560. doi:10.1001/archsurg.1949.01240030554015

WILKINSON702 discusses the relation of multiple tuberculous lesions to prognosis in the treatment of tuberculosis of bones and joints. He states the belief that associated pulmonary lesions are most important, skeletal lesions of least significance and genitourinary lesions of intermediate importance. He regards multiple infection of lymph nodes as indicating good resistance and multiple hematogenous lesions the reverse. The author feels that general benefit is gained in many cases by operation; this result may be due to removal of a source of tuberculous toxemia or to autoinoculation. The histories in 129 cases of skeletal tuberculosis complicated with associated tuberculous lesions, reported over a ten year period, are examined. The study shows that results in the surgical cases were slightly better than those in the nonsurgical cases, and would indicate that operation should not be withheld because of multiplicity of lesions.

[Ed. Note (A. DeF. S.).  —This evidence confirms the

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