Studies from the laboratories of the Deptof Surgery . Fig. 18.—Osteomyelitis in a dog caused Ijy the injection of Stafhylo-coceut aureut in the medullary canal: .Sl;., cortical sequestrum. Markednew bone prorri»Atral bone prolifrration on the opposite side. Figures 18,19, 20 and 21 arc the same Fig. 19.—Cross-section of bone: Sq., sequcslrum; B, rarefied cortex; C. sub-periosteal bone proliferation. 24 earliest relief oi this pressure sluiuUl he aecduiplisliedby exploratory operation and drainage. If pressureis not relieved, it is logical to assume that the throm-bosis of the entire nut
Studies from the laboratories of the Deptof Surgery . Fig. 18.—Osteomyelitis in a dog caused Ijy the injection of Stafhylo-coceut aureut in the medullary canal: .Sl;., cortical sequestrum. Markednew bone prorri»Atral bone prolifrration on the opposite side. Figures 18,19, 20 and 21 arc the same Fig. 19.—Cross-section of bone: Sq., sequcslrum; B, rarefied cortex; C. sub-periosteal bone proliferation. 24 earliest relief oi this pressure sluiuUl he aecduiplisliedby exploratory operation and drainage. If pressureis not relieved, it is logical to assume that the throm-bosis of the entire nutrient artery, with the conse(|uent«ieath of the diaphysis. might ensue. .After stuclyinghis theory. 1 believe we may agree to tlie followingfactors in osteoniyelitis: First, that early drainagesiiould be performed to relieve tension and to limit asfar as possible the primary thrombosis; second, thatwhen roentgenograms reveal circulatory disturbanceof bone due to thrombosis, there may be a later reestab-lishment of blood supply and the affected bone maybecome revitalized. RKiORT oi^ c.\si:s Our present interest is, however, the Ireatnicni ofthe late necrosed bone, a condition that frequentlyoccurs in children following the preliminary cases reported here show that bone which ajj
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