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THE RESULTS OF TREATMENT FOLLOWING COMPOUND FRACTURES OCCURRING IN CIVIL LIFE
ROBERT JAY COOK
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Assistant Professor of Surgery, Yale University, New Haven, Conn.
The Journal of Bone & Joint Surgery.  1924; 6:95-132 
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Abstract

Death occurred in three cases treated by the method of aseptic occlusion: two of septicemia and one of a gas bacillus infection. Under this method a leg was amputated in two cases for chronic osteomyelitis.

In the cases treated by drainage gas bacillus infection developed in one case and the leg was amputated.

In the cases treated by the Carrel-Dakin method it was necessary to amputate a limb in which gas bacillus infection was present.

In the cases treated by débridement and suture two cases, both of which were completely bébrided, died from a gas bacillus infection, and in two cases of gas bacillus infection it was necessary to amputate a limb.

When wounds are found to be infected by the streptococcus it is necessary to open the wound widely and desirable to treat the wound by the Carrel-Dakin method.

When a gas bacillus infection is present, amputation above the level of the infection should be done.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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