Journal of the Medical Society of New Jersey . xamina-tions of the unskilled and careless physi-cian : but while he can. with his wonderfulskill, technique and asepsis, operate on the>ecases with impunity and with the best re-sults. I feel that the patient under the aver-age surgeon runs a great deal less risk ifhe is treated by the old-fashioned splintthan by use of the metal plate or bone graft,except, of course, in cases where it is foundimpossible to keep the fragments in a posi-tion that is likely to insure union, and believe a period of 10 to 12 davs shouldelapse before the pla
Journal of the Medical Society of New Jersey . xamina-tions of the unskilled and careless physi-cian : but while he can. with his wonderfulskill, technique and asepsis, operate on the>ecases with impunity and with the best re-sults. I feel that the patient under the aver-age surgeon runs a great deal less risk ifhe is treated by the old-fashioned splintthan by use of the metal plate or bone graft,except, of course, in cases where it is foundimpossible to keep the fragments in a posi-tion that is likely to insure union, and believe a period of 10 to 12 davs shouldelapse before the plate is applied or the bone graft is used. The reasons for thisdelay of from 10 to 12 days, are that thetissues in and around a fracture, on accountof the laceration and bruising, have littlepower of resistance to the germs of infec-tion during the first few days after the in-jury; but after some 10 to 12 days, naturehas so far protected itself against germ in-vasion in and around the injury ( or, as terms it, that nature has coffer -. Fig. 3. Fracture of ulna, with dislocation ofhead of radius, causing almost complete loss offunction: operation six months after injury. dammed the tissues), that infection is verymuch less likely than it would be immedi-ately after the injury.* In the treatment of fractures, I will speakonly of the simple and compound, as theseare the two principal divisions. We willtake up the compound fracture first becausea compound fracture that is badly managedleads to more unfavorable results than asimple fracture that is badly managed. Ina simple fracture, you may get faulty unionor failure of union with deformity, but you *Dr John H- Murphy s Clinics June, 1914 Journal of the Medical Society of New Jersey. 275 have not usually materially hazarded thepatients limb or life at any part of theprocess. A compound fracture, on theother hand, is not only dangerous to thelimb, but dangerous to life. In the treat-ment of every compound fracture, it isesse
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