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December 1949

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XXII. FRACTURE DEFORMITIES

Arch Surg. 1949;59(6):1362-1370. doi:10.1001/archsurg.1949.01240041376015

WAR AND civilian casualties have in the past few years afforded an unprecedented number of serious, complicated injuries and diseases of the myoneuroskeletal system. During the same period of time, many new and radically different methods and medicaments have been advanced in the treatment of these conditions.

Reports on the use of, and results obtained with, these new methods and materials have been numerous, widely distributed and not without variance. The collective experience and results obtained yet await critical evaluation. Many basic or fundamental principles are manifest when the reports of the various authors are analyzed.

EARLY TREATMENT  In early treatment, says Renou,1072 débridement with adequate excision of damaged soft tissue, minimal removal of comminuted bone, production of efficient drainage and complete immobilization of the affected parts are most essential. Tension in the closure of the soft tissues often means loss of life or of limbs.Blood transfusions to