Journal of the Medical Society of New Jersey . r Lanes plate, Al-bees inlav bone graft or Murphys bonegraft in medulary canal. We should beguided in our choice of one of the abovenamed open plans of treatment by the char-acter and conditions of the case undertreatment, but as I have already stated inthis paper. I believe that the promiscuous use of the open treatment in cases of simplefracture is not justifiable in the hands ofthe average surgeon, as past experience hasproven that in a very large percentage ofsimple fractures, we have gotten good re-sults with the judicious use of splints andw
Journal of the Medical Society of New Jersey . r Lanes plate, Al-bees inlav bone graft or Murphys bonegraft in medulary canal. We should beguided in our choice of one of the abovenamed open plans of treatment by the char-acter and conditions of the case undertreatment, but as I have already stated inthis paper. I believe that the promiscuous use of the open treatment in cases of simplefracture is not justifiable in the hands ofthe average surgeon, as past experience hasproven that in a very large percentage ofsimple fractures, we have gotten good re-sults with the judicious use of splints andwhatever other apparatus that has beenfound necessary, and I believe that thispercentage of good results will be fargreater than would be the case with thegeneral use of the open treatment in thesefractures. There are many reasons given as thecause of non-union, in case of fractures,and while some of these reasons have beenproven accurate at the time of a later op-eration, in many cases no reason for thenon-union has been found apparent at the. Fig. 7. Fracture of femur; usual treatmentfor two weeks, when X-ray snowed this result. time of cutting down on the parts. I be-lieve that in the cases of non-union a verysmall percentage of good results will begotten by the use of the Lanes plate, andthat a more satisfactory and perfect resultwill be obtained by the use of the bonegraft treatment, for, as we have good reasonto believe in many cases of non-union, thefault in the process of repair is due to thefailure of the osteogenetic forces of thebones implicated. That non-union of bonesthat are in apposition is due, in a largenumber of cases, to a fault in the osteogen-etic forces, has been proven over and overagain in that such fractures have been op- June, 1914 erated upon with the use of the wire nail orthe Lane plate in the same fracture at dif-ferent times but with failure of union, whenat some later time, perfect results havebeen gotten in the same case by the use ofthe bone gra
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